Provider Demographics
NPI:1750589974
Name:GETZ, TEREZ JAMILLE (DO)
Entity type:Individual
Prefix:
First Name:TEREZ
Middle Name:JAMILLE
Last Name:GETZ
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:TEREZ
Other - Middle Name:JAMILLE
Other - Last Name:GRAY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:9520 W PALM LN
Mailing Address - Street 2:SUITE 200
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85037-4403
Mailing Address - Country:US
Mailing Address - Phone:877-809-5092
Mailing Address - Fax:623-932-5725
Practice Address - Street 1:100 N. GILA AVE
Practice Address - Street 2:
Practice Address - City:GILA BEND
Practice Address - State:AZ
Practice Address - Zip Code:85337
Practice Address - Country:US
Practice Address - Phone:877-809-5092
Practice Address - Fax:623-932-5725
Is Sole Proprietor?:No
Enumeration Date:2007-07-10
Last Update Date:2013-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ005044207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine