Individual
DR. JASON PALMER MADER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
1249 15TH ST STE 4000, HUNTINGTON, WV 25701-3663
(304) 691-8500
(304) 691-8510
Mailing address
3110 MACCORKLE AVE SE, CHARLESTON, WV 25304-1210
(304) 388-6355
(304) 388-6009
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
3229
WV
207RC0000X
Cardiovascular Disease Physician
Primary
3229
WV
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/29/2012
Last updated
03/11/2025
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