Individual
MR. JASON WILLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
522 W NEWTON ST, SUITE 100, GREENSBURG, PA 15601-2820
(724) 853-8922
(724) 853-8925
Mailing address
522 W NEWTON ST, SUITE 100, GREENSBURG, PA 15601-2820
(724) 853-8922
(724) 853-8925
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
042268
HIGHMARK MEDICARE SERVICE
PA
01
—
1438120
HIGHMARK BLUE SHIELD
PA
01
—
242348
HEALTH AMERICA
—
01
—
7659464
AETNA
—
01
—
970028289
RAILROAD MEDICARE
—
Enumeration date
07/05/2006
Last updated
10/25/2007
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