Individual
JASON HENG OU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
9150 W INDIAN SCHOOL RD STE 131, PHOENIX, AZ 85037-2388
(623) 873-0112
Mailing address
2508 E MANHATTON DR, TEMPE, AZ 85282-6032
(480) 457-9987
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
8925
AZ
Other
Enumeration date
01/21/2022
Last updated
01/21/2022
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