ERMITA BORT

SANTIBANEZ AGUIRRE PC

Dr ERMITA BORT is a female medical professional, specializing in Internal Medicine. She graduated in 1985.

Contact

SANTIBANEZ AGUIRRE PC

1200 E 3900
SALT LAKE CITY
UT
841241300

Tel: 8017835011

ERMITA BORT Information

Npi 1649475120
Pac Id 7416041140
Professional Enrollment Id I20070925000634
Last Name BORT
First Name ERMITA
Middle Name
Suffix
Gender F
Credential
Medical School Name OTHER
Graduation Year 1985
Primary Specialty INTERNAL MEDICINE
Secondary Specialty 1 PEDIATRIC MEDICINE
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties PEDIATRIC MEDICINE
Organization Legal Name SANTIBANEZ AGUIRRE PC
Group Practice Pac Id 4789807165
Number Of Group Practice Members 87
Line 1 Street Address 1200 E 3900
Line 2 Street Address
Marker Of Address Line 2 Suppression
City SALT LAKE CITY
State UT
Zip Code 841241300
Phone Number 8017835011
Hospital Affiliation Ccn 1 460052
Hospital Affiliation Lbn 1 TIMPANOGOS REGIONAL HOSPITAL
Hospital Affiliation Ccn 2 460013
Hospital Affiliation Lbn 2 MOUNTAIN VIEW HOSPITAL
Hospital Affiliation Ccn 3 460005
Hospital Affiliation Lbn 3 OGDEN REGIONAL MEDICAL CENTER
Hospital Affiliation Ccn 4
Hospital Affiliation Lbn 4
Hospital Affiliation Ccn 5
Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment Y

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