Provider Demographics
NPI:1437529773
Name:TETZ, SCOTT J (DO)
Entity Type:Individual
Prefix:DR
First Name:SCOTT
Middle Name:J
Last Name:TETZ
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
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Mailing Address - Street 1:605 E HOLLAND AVE STE 101
Mailing Address - Street 2:
Mailing Address - City:SPOKANE
Mailing Address - State:WA
Mailing Address - Zip Code:99218-1246
Mailing Address - Country:US
Mailing Address - Phone:509-342-3010
Mailing Address - Fax:509-342-3011
Practice Address - Street 1:605 E HOLLAND AVE STE 101
Practice Address - Street 2:
Practice Address - City:SPOKANE
Practice Address - State:WA
Practice Address - Zip Code:99218-1246
Practice Address - Country:US
Practice Address - Phone:509-342-3010
Practice Address - Fax:509-342-3011
Is Sole Proprietor?:No
Enumeration Date:2015-09-29
Last Update Date:2021-01-05
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
WAOP61035567207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine