Individual
JASON DEAN MILBERT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
21576 N PARK DR, FAIRVIEW PARK, OH 44126-2324
(440) 724-6363
Mailing address
71 STARKWEATHER ST, FL 1, MANCHESTER, CT 06042-3213
(951) 212-3572
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
3343
CT
Other
Enumeration date
07/02/2015
Last updated
07/02/2015
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