Individual
MR. JASON W ARNETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.A.
Contact information
Practice address
20950 N TATUM BLVD, SUITE 350, PHOENIX, AZ 85050-4200
(480) 502-6651
Mailing address
30010N 59TH ST, CAVE CREEK, AZ 85331-3022
(480) 828-4250
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
2475
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P00633844
RAILROAD MEDICARE WEST DERM OF AZ
AZ
01
—
P00662145
MEDICARE RAILROAD/ DERMATOLOGY VEIN AND LASER
AZ
01
—
P00809245
RR MEDICARE FOR GROUP PTAN#DP3049
AZ
Enumeration date
08/26/2005
Last updated
12/10/2015
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