Individual
DR. JASON LEE IGNATIUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
145 HOSPITAL AVE, SUITE 211, DU BOIS, PA 15801-1462
(814) 375-2070
(814) 375-2076
Mailing address
100 HOSPITAL AVE, DU BOIS, PA 15801-1440
(814) 375-6560
(814) 372-2848
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
OS015337
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
102850278
—
PA
Enumeration date
05/22/2009
Last updated
02/15/2018
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