person
Jared Getzlaff, MD
Military Health Care Provider in Mountain Home Afb, Idaho
NPI 1891224473

Jared Getzlaff is a Military Health Care Provider based in Mountain Home Afb, ID. Jared Getzlaff practices in Mountain Home Afb, ID and has the professional credentials of MD. The NPI Number for Jared Getzlaff is 1891224473 and holds a License No. (Idaho).

The current practice location address for Jared Getzlaff is 90 Hope Dr, Mountain Home Afb, ID and can be reached out via phone at 208-828-7416 and via fax at 208-828-1498.

Location: 90 Hope Dr, Mountain Home Afb, ID, 83648-1057
person
Provider Profile Details
NPI Number
1891224473
Provider Name
Jared Getzlaff
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
90 Hope Dr, Mountain Home Afb, ID, 83648-1057
Phone Number
208-828-7416
Fax Number
208-828-1498
Provider Enumeration Date
06/07/2017
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
90 Hope Dr
City
State
Zip
83648
Phone Number
208-828-7416
Fax Number
208-828-1498
person
Provider Business Mailing Address Details
Address
90 Hope Dr
City
State
Zip
83648
Phone Number
208-828-7416
Fax Number
208-828-1498
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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