SearchColorado122300000X

Gino Ortegon

NPI 1407069164 · on the registry since 2007 · sole proprietor

Practice

Address
401 W 12th St
Pueblo, CO 81003
Phone
(719) 583-0555

Registry record

Primary taxonomy
122300000X
122300000X
Licence states on file
CO
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2007-07-08

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Colorado