Individual
MR. JASON A FISHER-BECK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
726 4TH ST, MARYSVILLE, CA 95901-5656
(530) 749-4300
Mailing address
9431 GOLDEN DR, ORANGEVALE, CA 95662-5406
(303) 877-2879
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
00100339NC
NC
363AM0700X
Medical Physician Assistant
0010-03399
NC
363AS0400X
Surgical Physician Assistant
0010-03399
NC
363AS0400X
Surgical Physician Assistant
Primary
PA51700
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PA51700
LICENSE NUMBER
CA
Enumeration date
02/21/2012
Last updated
09/23/2020
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