Mr. Jason Thomas William Tetzlaff, IDC
Mr. Jason Thomas William Tetzlaff, IDC is an Independent Duty Corpsman in San Diego, California. Licensed in Arizona and California. Registered with an NPI since 2006.
- Licensed in
- AZ, CA
- In the registry since
- 2006
- Specialties on file
- 3
Practice location Address checks out
3402 Tarawa Rd SBT-12San Diego, CA 92155-5176
Phone: (619) 437-5539
Fax: (619) 437-2955
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Specialties & licences
| Independent Duty Corpsman (primary) | Taxonomy 1710I1002X · Licence 2099 (AZ) |
|---|---|
| Specialist | Taxonomy 174400000X (CA) |
| Military Health Care Provider | Taxonomy 171000000X · Licence 2099 (CA) |
Record details
| NPI number | 1043247091 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | IDC |
| Sole proprietor | No |
| NPI enumerated | June 26, 2006 |
| Last updated in NPPES | April 22, 2008 |
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