Individual
JASON DAVID EDGINTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2210 KIGALI PL, DULLES, VA 20189-2209
(202) 663-3604
Mailing address
2210 KIGALI PL, DULLES, VA 20189-2209
(202) 663-3604
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA06855
TX
Other
Enumeration date
07/09/2014
Last updated
08/11/2021
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