Individual
DR. JEFFREY JETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1400 FLORIDA AVE STE 102, MODESTO, CA 95350-4446
(209) 576-3526
Mailing address
126 STANLEY RD, SPRINGVALE, ME 04083
(207) 651-7960
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
20A15309
CA
207XS0106X
Orthopaedic Hand Surgery Physician
04718
KY
Other
Enumeration date
06/06/2015
Last updated
03/30/2020
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