Individual
DR. MARIA L JISON
Active
Individual
DR. MARIA L JISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
0101237603
VA
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
D0054450
MD
207RP1001X
Pulmonary Disease Physician
Primary
D0054450
MD
208M00000X
Hospitalist Physician
010237603
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1689687162
GROUP NPI
MD
Enumeration date
06/13/2006
Last updated
07/21/2008
Update your record
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