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Individual
JASON D BROWN
Active
Individual
JASON D BROWN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
10000787A
IN
363A00000X
Physician Assistant
99017012A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000386766
BCBS
IN
01
—
066899
SIHO
IN
01
—
Q0244502
RRMC
IN
Enumeration date
03/23/2006
Last updated
02/15/2022
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