person
Jazelle Ottowitz
Military Health Care Provider in Nellis Afb, Nevada
NPI 1154102762

Jazelle Ottowitz is a Military Health Care Provider based in Converse, NV. Jazelle Ottowitz practices in Nellis Afb, NV. The NPI Number for Jazelle Ottowitz is 1154102762 and holds a License No. (Nevada).

The current practice location address for Jazelle Ottowitz is 4700 Las Vegas Blvd N, Nellis Afb, NV and can be reached out via phone at 702-653-2273.

Location: 4700 Las Vegas Blvd N, Nellis Afb, NV, 78109-1856
person
Provider Profile Details
NPI Number
1154102762
Provider Name
Jazelle Ottowitz
Credential
Provider Entity Type
Individual
Gender
Female
Address
4700 Las Vegas Blvd N, Nellis Afb, NV, 78109-1856
Phone Number
702-653-2273
Fax Number
Provider Enumeration Date
10/10/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
4700 Las Vegas Blvd N
City
State
Zip
89191-6600
Phone Number
702-653-2273
Fax Number
person
Provider Business Mailing Address Details
Address
4700 Las Vegas Blvd N
City
State
Zip
89191-6600
Phone Number
702-653-2273
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Military Health Care Provider
Speciality
-
Taxonomy
License No.
()
Definition
Active duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes.
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