Individual
JONATHAN MARK LETKO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
USA MEDDAC 11050 MT BELVEDERE BLVD, FORT DRUM, NY 13602-5004
(315) 772-1648
Mailing address
USA MEDDAC 11050 MT BELVEDERE BLVD, FORT DRUM, NY 13602-5004
(315) 772-1648
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0102208037
VA
Other
Enumeration date
03/04/2022
Last updated
08/14/2025
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