Individual
JASON P BYNUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
8001 BRUCEVILLE RD, KAISER PERMANENTE- SIERRA VISTA HOSPI, SACRAMENTO, CA 95823-2329
(916) 897-7838
Mailing address
8001 BRUCEVILLE RD, SACRAMENTO, CA 95823-2329
(916) 897-7838
(888) 812-0303
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
4301083083
MI
2084P0804X
Child & Adolescent Psychiatry Physician
4301083083
MI
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
A82696
CA
Other
Enumeration date
08/25/2006
Last updated
01/10/2022
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