Organization
JASON STUTZMAN
Active
Other names
Ambulatory Infusion Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JASON STUTZMAN FNP-BC (NURSE PRACTITIONER)
(559) 321-6211
Entity
Organization
Contact information
Practice address
1925 E DAKOTA AVE, FRESNO, CA 93726-4821
(559) 459-1615
Mailing address
1925 E DAKOTA AVE, FRESNO, CA 93726-4821
Taxonomy
Speciality
Code
Description
License number
State
261QI0500X
Infusion Therapy Clinic/Center
Primary
21511
CA
261QP2300X
Primary Care Clinic/Center
21511
CA
Other
Enumeration date
07/30/2012
Last updated
08/09/2012
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