Individual
JASON A PEREZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
650 HUEBNER RD., FORT RILEY, KS 66442
(785) 239-7667
Mailing address
650 HUEBNER RD., FORT RILEY, KS 66442
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
0024173202
VA
Other
Enumeration date
11/10/2015
Last updated
06/26/2023
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