Individual
MR. JASON PAVELKO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
3020 HAMAKER CT STE 101A, FAIRFAX, VA 22031-2233
(571) 334-8651
Mailing address
3020 HAMAKER CT STE 101A, FAIRFAX, VA 22031-2233
(571) 334-8651
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0110009614
VA
Other
Enumeration date
10/26/2023
Last updated
11/18/2025
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