Individual
JASON E MYERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
4700 LAS VEGAS BLVD N, NELLIS AFB, NV 89191-6600
(702) 653-3040
Mailing address
4700 LAS VEGAS BLVD N, NELLIS AFB, NV 89191-6600
(702) 653-3040
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
55071
CA
363A00000X
Physician Assistant
Primary
PA1952
NV
Other
Enumeration date
08/05/2017
Last updated
12/16/2019
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