IndividualActive
David Jetmore, MD
NPI 1215939467 · Otolaryngology Physician · Richmond, IN
Provider details
- NPI number
- 1215939467
- Entity type
- Individual
- Primary specialty
- Otolaryngology PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- 01023140A (IN)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Other Service Providers
Practice location
1434 Chester Blvd.
Richmond, IN 47374-1919
Phone: (765) 966-1600
Fax: (765) 962-9641
Approximate (ZIP-level) locationGet directions
Mailing address
1100 Reid Pkwy
Richmond, IN 47374-1157
Registry dates
- Enumerated
- 2005-06-01
- Last updated
- 2021-05-14
- Certified
- 2021-05-14
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.