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Individual
JASON TYLER BARITEAU
Active
Individual
JASON TYLER BARITEAU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
13840
RI
207X00000X
Orthopaedic Surgery Physician
LP01073
RI
207XX0004X
Orthopaedic Foot and Ankle Surgery Physician
Primary
070339
GA
207XX0004X
Orthopaedic Foot and Ankle Surgery Physician
P5595
TX
Other
Enumeration date
06/01/2007
Last updated
07/31/2014
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