Individual
JASON GENCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
655 S DOBSON RD STE 205, CHANDLER, AZ 85224-5669
(480) 563-6400
(480) 563-8009
Mailing address
PO BOX 6408, SCOTTSDALE, AZ 85261-6408
(480) 563-6400
(480) 563-8009
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
085-005647
IL
363AM0700X
Medical Physician Assistant
Primary
8108
AZ
363AS0400X
Surgical Physician Assistant
085005647
IL
Other
Enumeration date
09/21/2015
Last updated
02/10/2026
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