Most Relevant Information
Provider Data
| NPI Number: | 1003312778 |
| Provider Name: | RICHARD STEVEN ORTEGON MD |
| Entity Type: | Individual |
| Taxonomy Code: | 390200000X |
| Specialty: | Student in an Organized Health Care Education/Training Program |
| License Number: |
Most Important Dates
| Enumeration Date: | 04/02/2018 |
| Last Updated: | 08/09/2022 |
Provider Practice Location
2213 ELBA ST
DURHAM
NC
277053934
Practice Location Phone/Fax
| Phone: | 9196840100 |
| Fax: |
Provider Mailing Location
2213 ELBA ST
DURHAM
NC
277053934
Provider Mailing Phone/Fax
| Phone: | 9196840119 |
| Fax: |