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Individual
DR. JARED LEE DAYTON
Active
Individual
DR. JARED LEE DAYTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
3678
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
080194836
RAILROAD PROVIDER NUMBER
AZ
05
—
620345
—
AZ
05
—
620345001
—
AZ
01
—
AZ0728120
BCBS PROVIDER NUMBER
AZ
Enumeration date
05/11/2006
Last updated
09/10/2020
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