# GARY JETT MD LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1437488061
- **Authorized official:** DR. GARY JETT MD (PHYSICAN)
- **Authorized official phone:** (340) 778-8283

## Contact information

- **Practice address:** 3022 EST GOLDEN ROCK, SUITE 101, CHRISTIANSTED, VI 00820-3804
- **Practice address phone:** (340) 718-8282
- **Practice address fax:** (340) 718-8290
- **Mailing address:** PO BOX 5123, CHRISTIANSTED, VI 00823-5123
- **Mailing address phone:** (340) 718-8282
- **Mailing address fax:** (340) 718-8290

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225400000X | Rehabilitation Practitioner | 1084 | VI | Yes |

## Other

- **Enumeration date:** 12/10/2009
- **Last updated:** 10/11/2012
