Individual
DR. JASON WAITE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
1257 PAIUTE CIR, LAS VEGAS, NV 89106-3202
(516) 506-8839
Mailing address
PO BOX 110, CASTLE DALE, UT 84513-0110
(516) 506-8839
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
9114085-0501
UT
213EP1101X
Primary Podiatric Medicine Podiatrist
9114085-0501
UT
Other
Enumeration date
05/25/2013
Last updated
01/02/2024
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