Doctor Name: | MORGAN GETTLE |
NPI Number: | 1295046837 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | D.O |
License Number: | A-1637-11 |
Business Practice Address: | Psc 80 Box 13407 Apo, AP - 963670037 |
Business Phone Number: | 08097004725 |
Business Fax Number: | |
Mailing Address: | 18th Medical Group, Unit 5142 APO |
State: | AP |
Postal Code: | 96367 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 06/29/2010 |
NPI Last Update Date: | 08/08/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | A-1637-11 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NM |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |