Individual provider · Type 1 NPI

Maximilian Gregory Ortiz

Electroneurodiagnostic Specialist/Technologist · Carencro, LA

NPI number 1548867260 Active

Practice location

113 E Saint Peter St
Carencro, LA 70520-4008

Call (225) 239-2301 Map

Fax (225) 341-8526

Mailing address

PO Box 187
Carencro, LA 70520-0187

Specialties and licenses

TaxonomyCodeLicense
Electroneurodiagnostic Specialist/Technologist Primary 246ZE0600XNone listed

Electroneurodiagnostic Specialist/Technologist: Definition to come...

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About NPI 1548867260

Maximilian Gregory Ortiz's National Provider Identifier is 1548867260, issued on Oct 6, 2020. The primary taxonomy on file is Electroneurodiagnostic Specialist/Technologist (246ZE0600X), and the practice location is in Carencro, LA. The record was last updated on Oct 6, 2020.