DR. GEORGE LEONARD ETTEL DO NPI 1861029076

NPI Information

NPI: 1861029076
Provider Name: DR. GEORGE LEONARD ETTEL, DO
Classification: Military Health Care Provider - 171000000X
Entity Type: Individual
Address: 7050 AIR DEPOT BLVD BLDG 1094
TINKER AFB, OK
ZIP 73145
Phone: (727) 667-0390

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NPI Details

DR. George Leonard Ettel, DO is a military health care provider in Tinker Afb, OK. The provider is active duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes. DR. George Leonard Ettel, DO NPI is 1861029076. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

7050 AIR DEPOT BLVD BLDG 1094
TINKER AFB, OK
ZIP 73145-716
Phone: (727) 667-0390
Fax: (405) 736-3619

The enumeration date for this NPI number is 3/26/2020 and was last updated on 3/7/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	390200000X	Student in an Organized Health Care Education/Training Program				No
2	171000000X	Military Health Care Provider				Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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