# DR. JASON WAYNE DEFLUITER

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1669780433
- **Gender:** Man
- **Credential:** D.O.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 19773 | MT | Yes |
| 207Q00000X | Family Medicine Physician | 2010019750 | MO | — |
| 207Q00000X | Family Medicine Physician | DO159859 | OR | — |

## Other

- **Enumeration date:** 09/15/2010
- **Last updated:** 11/20/2015

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 1669780433 | — | MT |