Individual
JASON MICHAEL SUMSION
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSPT
Contact information
Practice address
826 EASTLAND DR, TWIN FALLS, ID 83301-6858
(208) 734-4061
Mailing address
2581 CARRIAGE WAY, TWIN FALLS, ID 83301-8942
(208) 732-5593
Taxonomy
Speciality
Code
Description
License number
State
174H00000X
Health Educator
Primary
RPT-1593
ID
Other
Enumeration date
10/07/2009
Last updated
10/13/2009
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