Individual
JASON HARTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
8401 MARKET ST, BOARDMAN, OH 44512-6725
(602) 509-3623
Mailing address
4018 E MONTGOMERY RD, CAVE CREEK, AZ 85331-5845
(602) 509-3623
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
34.015202
OH
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/28/2019
Last updated
11/16/2021
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