Individual
JASON SCOTT ABBOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1919 E THOMAS RD, PHOENIX, AZ 85016-7710
(602) 933-0945
Mailing address
7243 MADISON ST APT 205, FOREST PARK, IL 60130-3727
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
02/19/2020
Last updated
03/24/2021
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