Individual
JAN A JANSON
Active
Individual
JAN A JANSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
0101045407
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010119391
—
VA
Enumeration date
06/12/2006
Last updated
12/17/2018
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