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Individual
MR. JASON ANDREW PEERY
Active
Individual
MR. JASON ANDREW PEERY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
0110002547
VA
363AS0400X
Surgical Physician Assistant
Primary
0110002547
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0123209368
MEDICAID QMB
VA
01
—
1023209368
INTOTAL
VA
01
—
540506332108
TRICARE/CHAMPUS
VA
01
—
P00831116
RAILROAD MEDICARE
VA
Enumeration date
08/01/2007
Last updated
05/21/2026
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