Organization
JAMAL JETER DPM LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMAL JETER DPM (OWNER)
(216) 470-8782
Entity
Organization
Contact information
Practice address
2880 DANIELLE DR, WESTLAKE, OH 44145-4758
(216) 470-8782
Mailing address
2880 DANIELLE DR, WESTLAKE, OH 44145-4758
(216) 470-8782
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DD6058
PALMETTO GBA RETIRED
OH
Enumeration date
09/12/2007
Last updated
10/06/2011
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