1043247091 Mr. Jason Thomas William Tetzlaff, IDC

Independent Duty Corpsman

Active

Basic Information

Full Name
Mr. Jason Thomas William Tetzlaff, IDC
Gender
Male
Enumeration Date
June 26, 2006
Last Update
April 22, 2008

Practice Location

Address
3402 TARAWA RD
SBT-12
SAN DIEGO, CA 921555176
Phone
(619) 437-5539
Fax
(619) 437-2955

Mailing Address

Address
4742 GAINARD WAY
SAN DIEGO, CA 921242913
Phone
(619) 436-8538
Fax
(619) 437-2955

Specialties & Taxonomies

Specialty Code Classification License State Primary
Independent Duty Corpsman
Independent Duty Corpsman
1710I1002X Military Health Care Provider 2099 AZ Primary
Specialist
174400000X Specialist N/A CA No
Military Health Care Provider
171000000X Military Health Care Provider 2099 CA No

Other Identifiers

Identifier Type State Issuer
2099 01 AZ US NAVY

Frequently Asked Questions

What is Mr. Jason Thomas William Tetzlaff, IDC's NPI number?
Mr. Jason Thomas William Tetzlaff, IDC's NPI number is 1043247091.
Which doctor has NPI number 1043247091?
The doctor with NPI number 1043247091 is Mr. Jason Thomas William Tetzlaff, IDC.
What is Mr. Jason Thomas William Tetzlaff, IDC's practice address?
Mr. Jason Thomas William Tetzlaff, IDC's practice address is 3402 TARAWA RD, SBT-12, SAN DIEGO, CA, 921555176.
Which doctor practices at 3402 TARAWA RD, SBT-12, SAN DIEGO, CA, 921555176?
Mr. Jason Thomas William Tetzlaff, IDC practices at 3402 TARAWA RD, SBT-12, SAN DIEGO, CA, 921555176.
What is Mr. Jason Thomas William Tetzlaff, IDC's mailing address?
Mr. Jason Thomas William Tetzlaff, IDC's mailing address is 4742 GAINARD WAY, SAN DIEGO, CA, 921242913.
What is Mr. Jason Thomas William Tetzlaff, IDC's phone number?
Mr. Jason Thomas William Tetzlaff, IDC's phone number is (619) 437-5539.
Who is (619) 437-5539?
(619) 437-5539 is the phone number for Mr. Jason Thomas William Tetzlaff, IDC.
What is Mr. Jason Thomas William Tetzlaff, IDC's specialty?
Mr. Jason Thomas William Tetzlaff, IDC's specialty is Independent Duty Corpsman.
What type of doctor is Mr. Jason Thomas William Tetzlaff, IDC?
Mr. Jason Thomas William Tetzlaff, IDC is a Independent Duty Corpsman.
Is Mr. Jason Thomas William Tetzlaff, IDC a Independent Duty Corpsman?
Yes, Mr. Jason Thomas William Tetzlaff, IDC is a Independent Duty Corpsman.
Is Mr. Jason Thomas William Tetzlaff, IDC still practicing?
Yes, Mr. Jason Thomas William Tetzlaff, IDC is currently practicing.
Is Mr. Jason Thomas William Tetzlaff, IDC accepting new patients?
Mr. Jason Thomas William Tetzlaff, IDC may be accepting new patients. Please call their office at (619) 437-5539 to inquire about availability.
Is NPI 1043247091 still active?
Yes, NPI 1043247091 is currently active.
Where does Mr. Jason Thomas William Tetzlaff, IDC practice?
Mr. Jason Thomas William Tetzlaff, IDC practices in SAN DIEGO, CA.
Is Mr. Jason Thomas William Tetzlaff, IDC a male or female doctor?
Mr. Jason Thomas William Tetzlaff, IDC is a male doctor.