| Doctor Name: | CANDICE ORTIZ |
| NPI Number: | 1093814139 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MD |
| License Number: | 042-0009723 |
| Business Practice Address: | 1315 Hospital Dr St Johnsbury, VT - 058199210 |
| Business Phone Number: | 8003765566 |
| Business Fax Number: | |
| Mailing Address: | Po Box 217, ST JOHNSBURY |
| State: | VT |
| Postal Code: | 058190217 |
| Phone Number: | 8003765566 |
| Fax Number: | |
| NPI Enumeration Date: | 09/22/2006 |
| NPI Last Update Date: | 11/14/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 2085U0001X |
| License Number: | 042-0009723 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | VT |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Radiology |
| Taxonomy Specialization: | Diagnostic Ultrasound |
| Taxonomy Definition: | A Radiology doctor of Osteopathy that specializes in Diagnostic Ultrasound. |