Individual
DR. JASON TYLER GUBLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
10624 S EASTERN AVE STE A-955, HENDERSON, NV 89052-2982
(702) 407-7700
(702) 407-7016
Mailing address
10624 S EASTERN AVE STE A-955, HENDERSON, NV 89052-2982
(702) 407-7700
(702) 407-7016
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
13419
CA
207Q00000X
Family Medicine Physician
Primary
DO1975
NV
Other
Enumeration date
06/20/2014
Last updated
04/12/2016
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