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Amar Chand Jetty, MD
Specialist in La Junta, Colorado
NPI 1124216080

Amar Chand Jetty is a Specialist based in La Junta, CO. Amar Chand Jetty practices in La Junta, CO and has the professional credentials of MD. The NPI Number for Amar Chand Jetty is 1124216080 and holds a License No. DR45869 (Colorado).

The current practice location address for Amar Chand Jetty is 1100 Carson Ave, La Junta, CO and can be reached out via phone at 719-383-5189 and via fax at 719-383-6566.

Location: 1100 Carson Ave, La Junta, CO, 81050-2751
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1124216080
Provider Name
Amar Chand Jetty
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
1100 Carson Ave, La Junta, CO, 81050-2751
Phone Number
719-383-5189
Fax Number
719-383-6566
Provider Enumeration Date
10/04/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
DR-45869 01 CO STATE LICENSE
P00452978 01 CO RAILROAD MEDICARE
13352857 05 CO
institution
Provider Business Practice Location Address Details
Address
1100 Carson Ave
City
La Junta
State
Colorado
Zip
81050-2751
Phone Number
719-383-5189
Fax Number
719-383-6566
person
Provider Business Mailing Address Details
Address
1100 Carson Ave
City
La Junta
State
Colorado
Zip
81050-2751
Phone Number
719-383-5189
Fax Number
719-383-6566
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
DR45869 (Colorado)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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