Individual
JASON M DEFEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD, PA
Contact information
Practice address
106 BLANCA AVE, ALAMOSA, CO 81101-2340
(719) 589-2511
(719) 587-5713
Mailing address
106 BLANCA AVE, ALAMOSA, CO 81101-2340
(719) 589-2511
(719) 587-5713
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
DR.0057953
CO
207X00000X
Orthopaedic Surgery Physician
L6027
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
166491402
—
TX
01
—
8C9902
PTAN
TX
Enumeration date
05/17/2007
Last updated
05/04/2021
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