Whalio Doctors

NPI 1356928014

Alexander William Ortiz, DO

Practitioner Military Health Care Provider Shaw Afb, SC

Practice location

Address
431 Meadowlark St, Shaw Afb, SC 29152-5019
Phone
(803) 895-2273
Fax
(803) 895-6063
Mailing address
332 Tomentosa Dr, Columbia, SC 29209-4456

Registered specialties (2)

Military Health Care Provider Primary
Other Service Providers Taxonomy 171000000X Licence 2022-02862 (NC)
Student in an Organized Health Care Education/Training Program
Student, Health Care Taxonomy 390200000X

Registry record

NPI
1356928014
Entity type
Individual
Sex (as registered)
Male
NPI issued
26 Mar 2021
Record last updated
6 Dec 2022

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.