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Individual

DR. JASON L UMPHRESS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1321 COTTONWOOD ST, SUITE 203, WOODLAND, CA 95695-5131
(530) 666-1631
Mailing address
1321 COTTONWOOD ST, SUITE 203, WOODLAND, CA 95695-5131
(530) 666-1631

Taxonomy

Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
A64129
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
00A941290
BLUE SHIELD
CA
01
P00311600
RR MEDICARE
CA
Enumeration date
07/15/2006
Last updated
10/30/2013
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