Individual
DR. JASON ROBERT DETERMANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
341 GREENO RD N, FAIRHOPE, AL 36532-2979
(251) 928-2401
(251) 928-5099
Mailing address
PO BOX 1186, FAIRHOPE, AL 36533-1186
(251) 928-2401
(251) 928-5099
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
30613
AL
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
30613
AL
Other
Enumeration date
05/19/2009
Last updated
02/28/2024
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