Individual
DR. JASON D DAUGHETY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O., M.P.H
Contact information
Practice address
16766 BERNARDO CENTER DR STE 206, SAN DIEGO, CA 92128-2502
(858) 848-5249
(415) 728-9751
Mailing address
12842 STONE CANYON RD, POWAY, CA 92064-2037
(619) 929-4343
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
20A16016
CA
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
20A16016
CA
Other
Enumeration date
05/20/2012
Last updated
01/06/2022
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