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Individual

JASON STUBBS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
1230 E KINGSLEY ST STE A&B, SPRINGFIELD, MO 65804-7211
(417) 336-0033
(855) 710-6552
Mailing address
110 BUSINESS PARK DR STE C, BRANSON, MO 65616-7449
(417) 336-0033
(855) 710-6552

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
2023013806
MEDICAL LICENSE
MO
01
PA9115844
MEDICAL LICENSE
FL
Enumeration date
05/31/2021
Last updated
05/03/2023
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