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Individual

DR. JASON FONTAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MS17948
MS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
009944055
AL
01
646000515E
BLUE CROSS OF MS
05
JF09280201
MS
01
P00054446
MEDICARE RAILROAD
Enumeration date
01/17/2007
Last updated
03/04/2014
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