Individual provider · Type 1 NPI

George Leonard Ettel Iii, DO

Military Health Care Provider · Tinker Afb, OK

NPI number 1861029076 Active

Practice location

7050 Air Depot Blvd Bldg 1094
Tinker Afb, OK 73145-8716

Call (727) 667-0390 Map

Fax (405) 736-3619

Mailing address

502 W Highland Blvd
Inverness, FL 34452-4720

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program 390200000XNone listed
Military Health Care Provider Primary 171000000XNone listed

Military Health Care Provider: Active duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes.

21 other providers at this address

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About NPI 1861029076

George Leonard Ettel Iii, DO's National Provider Identifier is 1861029076, issued on Mar 26, 2020. The primary taxonomy on file is Military Health Care Provider (171000000X), and the practice location is in Tinker Afb, OK. The record was last updated on Mar 7, 2022.