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Dr. George Leonard Ettel III, DO
Military Health Care Provider in Tinker Afb, Oklahoma
NPI 1861029076

George Leonard Ettel III is a Military Health Care Provider based in Inverness, OK. George Leonard Ettel III practices in Tinker Afb, OK and has the professional credentials of DO. The NPI Number for George Leonard Ettel III is 1861029076 and holds a License No. (Oklahoma).

The current practice location address for George Leonard Ettel III is 7050 Air Depot Blvd Bldg 1094, Tinker Afb, OK and can be reached out via phone at 727-667-0390 and via fax at 405-736-3619.

Location: 7050 Air Depot Blvd Bldg 1094, Tinker Afb, OK, 34452-4720
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1861029076
Provider Name
George Leonard Ettel III
Credential
DO
Provider Entity Type
Individual
Gender
Male
Address
7050 Air Depot Blvd Bldg 1094, Tinker Afb, OK, 34452-4720
Phone Number
727-667-0390
Fax Number
405-736-3619
Provider Enumeration Date
03/26/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
7050 Air Depot Blvd Bldg 1094
City
Tinker Afb
State
Oklahoma
Zip
73145-8716
Phone Number
727-667-0390
Fax Number
405-736-3619
person
Provider Business Mailing Address Details
Address
7050 Air Depot Blvd Bldg 1094
City
Tinker Afb
State
Oklahoma
Zip
73145-8716
Phone Number
727-667-0390
Fax Number
405-736-3619
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Military Health Care Provider
Speciality
-
Taxonomy
171000000X
License No.
()
Definition
Active duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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