Individual provider · Type 1 NPI

Alexander William Ortiz, DO

Military Health Care Provider · Shaw Afb, SC

NPI number 1356928014 Active

Practice location

431 Meadowlark St
Shaw Afb, SC 29152-5019

Fax (803) 895-6063

Mailing address

332 Tomentosa Dr
Columbia, SC 29209-4456

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program 390200000XNone listed
Military Health Care Provider Primary 171000000X2022-02862 (NC)

Military Health Care Provider: Active duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes.

28 other providers at this address

About NPI 1356928014

Alexander William Ortiz, DO's National Provider Identifier is 1356928014, issued on Mar 26, 2021. The primary taxonomy on file is Military Health Care Provider (171000000X), and the practice location is in Shaw Afb, SC. The record was last updated on Dec 6, 2022.