Individual
JASON RANDALL ASH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
4010 W 65TH ST, EDINA, MN 55435-1706
(952) 456-7000
(952) 456-7001
Mailing address
4200 DAHLBERG DR, SUITE 300, GOLDEN VALLEY, MN 55422
(952) 512-5600
(952) 512-5650
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
10180
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
125370
MEDICA
MN
01
—
135923E948
UCARE
MN
01
—
449L9AS
BLUE CROSS BLUE SHIELD
MN
05
—
724452000
—
MN
01
—
969991048463
PREFERREDONE
MN
01
—
HP71680
HEALTHPARTNERS
MN
Enumeration date
09/20/2006
Last updated
07/21/2022
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