Individual
MR. JASON PEUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MPAS, PA-C
Contact information
Practice address
701 SUNRISE AVE, ROSEVILLE, CA 95661-4502
(916) 772-6337
Mailing address
701 SUNRISE AVE, ROSEVILLE, CA 95661-4502
(916) 772-6337
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA51361
CA
Other
Enumeration date
09/29/2014
Last updated
01/03/2022
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