Individual
MR. JASON D. OBERDICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1000 STONEWOOD DR STE 200, WEXFORD, PA 15090-8386
(724) 778-3020
(724) 778-3024
Mailing address
801 YORK ST, MANITOWOC, WI 54220-4630
(920) 663-7190
(920) 684-1439
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
MA003384L
PA
Other
Enumeration date
10/17/2006
Last updated
05/24/2022
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