Individual
DR. JASON ALLEN MINER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4881 SUGAR MAPLE DR, WRIGHT PATTERSON AFB, OH 45433-5529
(937) 257-0837
Mailing address
20 GREENMOUNT BLVD, OAKWOOD, OH 45419-3138
(405) 314-2368
Taxonomy
Speciality
Code
Description
License number
State
171000000X
Military Health Care Provider
31131
OK
171000000X
Military Health Care Provider
35.134526
OH
171000000X
Military Health Care Provider
S7920
TX
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
35.134526CTR
OH
208600000X
Surgery Physician
31131
OK
208600000X
Surgery Physician
35.134526
OH
208600000X
Surgery Physician
S7920
TX
2086S0102X
Surgical Critical Care Physician
31131
OK
2086S0102X
Surgical Critical Care Physician
34.134526
OH
2086S0102X
Surgical Critical Care Physician
S7920
TX
2086S0127X
Trauma Surgery Physician
31131
OK
2086S0127X
Trauma Surgery Physician
Primary
35.134526
OH
2086S0127X
Trauma Surgery Physician
S7920
TX
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/09/2013
Last updated
05/29/2024
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