Individual
JASON D. ROOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
805 W ACEQUIA AVE STE 1B, VISALIA, CA 93291-6163
(559) 409-4720
(559) 409-4713
Mailing address
805 W ACEQUIA AVE STE 1B, VISALIA, CA 93291-6163
(559) 409-4720
(559) 409-4713
Taxonomy
Speciality
Code
Description
License number
State
207YS0123X
Facial Plastic Surgery Physician
Primary
20A18178
CA
207YS0123X
Facial Plastic Surgery Physician
5101018567
MI
207YS0123X
Facial Plastic Surgery Physician
OP60519665
WA
Other
Enumeration date
06/30/2010
Last updated
05/22/2024
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