# DR. JASON ROBERT VANSHAAR

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1497983076
- **Gender:** Man
- **Credential:** M.D.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 9730453-1205 | UT | Yes |
| 207Q00000X | Family Medicine Physician | MD443492 | PA | — |
| 207Q00000X | Family Medicine Physician | P3475 | TX | — |

## Other

- **Enumeration date:** 06/23/2009
- **Last updated:** 01/08/2024