Jon Edward Kretzler in Longview - Orthopaedic Surgery

Jon Edward Kretzler - NPI 1417922840

Jon Edward Kretzler is a Orthopaedic Surgery in Longview, Washington. Jon Edward Kretzler practices all healthcare services and medical treatments related to Orthopaedic Surgery. The NPI Number for Jon Edward Kretzler is 1417922840. The last update date is 2007-07-25.

Jon Edward Kretzler's current location address is 625 9th Ave, Longview, Washington. You can contact this provider via phone number 3605013400 and fax number 3604236862. The mailing address for Jon Edward Kretzler is 625 9th Ave, Longview, Washington. To know further, please read the information below!

Provider Profile Detail

Provider Name Jon Edward Kretzler
Address 625 9th Ave, Longview, Washington
Phone Number 3605013400
Fax Number 3604236862
Sole Proprietor N
Credentials M.D.

NPI Number Detail

NPI Number 1417922840
Provider Enumeration Date 2006-02-20
Last Updated Date 2007-07-25

Provider Mailing Address Detail

Address 625 9th Ave
City Longview
State Washington (WA)
Post Code 986322465
Phone Number 3605013400
Fax Number 3604236862

Provider's Primary Taxonomy Detail

Speciality Orthopaedic Surgery
Taxonomy 207X00000X
Licence No MD00030913
Definition:
An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the car

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
1084128 WA --
57989 OR --

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FAQs about Jon Edward Kretzler

What is the unique provider identifier assigned to Jon Edward Kretzler?

The Jon Edward Kretzler has been issued the NPI (National Provider Identifier) 1417922840 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Could you provide the complete physical address where Jon Edward Kretzler is located?

The Jon Edward Kretzler is situated at the following address: 625 9Th Ave, Longview, WA, 986322465.

What is Jon Edward Kretzler's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?

The primary area of medical expertise for Jon Edward Kretzler is Orthopaedic Surgery, and the corresponding taxonomy classification code for this specialized field is 207X00000X.

When did Jon Edward Kretzler receive its 1417922840 assignment?

The Jon Edward Kretzler was assigned its 1417922840 on 2006-02-20, which is the date when this unique identifier was issued to the organization.

When was the information pertaining to Jon Edward Kretzler most recently updated or revised?

The details related to Jon Edward Kretzler, including its address, specialty, and other relevant information, were last updated or revised on 2007-07-25.

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