Individual
DR. JASON LUKE ENGERISER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2401 GORDON SMITH DR, MOBILE, AL 36617-2318
(251) 450-2211
Mailing address
5750A SOUTHLAND DR, MOBILE, AL 36693-3316
(251) 450-5916
(251) 662-7297
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
29663
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
29663
—
AL
Enumeration date
09/27/2006
Last updated
09/12/2022
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