Individual
MR. JASON JOSE MANAKAT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
2802 E DISTRICT ST, TUCSON, AZ 85714-2081
(520) 301-2400
Mailing address
12859 E PANTANO VIEW DR, VAIL, AZ 85641-0019
(404) 490-0999
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
363A00000X
Physician Assistant
085.009077
IL
363A00000X
Physician Assistant
9210
AZ
363AM0700X
Medical Physician Assistant
Primary
9210
AZ
Other
Enumeration date
09/08/2022
Last updated
08/22/2025
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