Individual
JODY LYNN GETTLEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1850 N CENTRAL AVE, STE 1600, PHOENIX, AZ 85004-4633
(602) 744-4765
(602) 744-4799
Mailing address
645 E MISSOURI AVE, STE 300, PHOENIX, AZ 85012-1351
(602) 744-4765
(602) 744-4799
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
18688
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
050071335
MEDICARE RAILROAD
—
05
—
285389
—
AZ
Enumeration date
01/30/2006
Last updated
05/29/2020
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