Individual
MR. JASON DORRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
309 W SAINT LOUIS ST STE B, WEST FRANKFORT, IL 62896-2047
(618) 932-2200
Mailing address
309 W SAINT LOUIS ST STE B, WEST FRANKFORT, IL 62896-2047
(618) 932-2200
(618) 932-2202
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
085-002119
IL
Other
Enumeration date
07/04/2006
Last updated
06/10/2024
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