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Individual

JASON ROBERT BROGAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
AA

Contact information

Practice address
11133 DUNN RD, SAINT LOUIS, MO 63136-6163
(314) 653-5000
Mailing address
6551 PARK OF COMMERCE BLVD FL 33487, BOCA RATON, FL 33487-8218
(561) 692-6996
(561) 692-6996

Taxonomy

Speciality
Code
Description
License number
State
367H00000X
Anesthesiologist Assistant
Primary
2022030647
MO
367H00000X
Anesthesiologist Assistant
25
OK

Other

Enumeration date
10/15/2019
Last updated
04/08/2024
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