Individual
DR. THOMAS EDWARD JETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1460 NE MEDICAL CENTER DR, BEND, OR 97701-6061
(541) 382-6633
(541) 382-9327
Mailing address
1460 NE MEDICAL CENTER DR, BEND, OR 97701-6061
(541) 382-6633
(541) 382-9327
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
MD14751
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
17774
—
OR
Enumeration date
11/21/2005
Last updated
02/07/2012
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