Individual
JASON RYAN DUTTON
Active
Individual
JASON RYAN DUTTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Taxonomy
Speciality
Code
Description
License number
State
171000000X
Military Health Care Provider
816
NE
207X00000X
Orthopaedic Surgery Physician
816
NE
207X00000X
Orthopaedic Surgery Physician
Primary
OP60870076
WA
Other
Enumeration date
03/29/2011
Last updated
08/07/2018
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