Individual
JASON M. STELLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
2115 S FREMONT AVE, SUITE 5000, SPRINGFIELD, MO 65804-2239
(417) 820-3960
(417) 820-3966
Mailing address
PO BOX 2580, SPRINGFIELD, MO 65801-2580
(417) 829-4620
(417) 829-4316
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
2009002138
MO
Other
Enumeration date
02/10/2009
Last updated
02/10/2009
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