JASON DOUGLAS PA-C
Individual Provider (NPI-1)
Active
Physician Assistant
Provider Information
- NPI Number
1457606618- Provider Type
- Individual Provider (NPI-1)
- Credentials
- PA-C
- Status
- Active
Contact & Location
- Address
- 23401 PRAIRIE STAR PKWY STE B-300, LENEXA, KS, 662277268
- Phone
- (913) 677-6319
- Fax
- (913) 677-1540
Specialties & Taxonomies
Physician Assistant
License: KS #1501587
Physician Assistant
Primary License: MO #2012021523