Individual
JASON ASISTORES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
15 TERRY CT STE E, STAUNTON, VA 24401-2568
(540) 328-2871
(540) 675-4004
Mailing address
15 TERRY CT STE E, STAUNTON, VA 24401-2568
(540) 328-2871
(540) 675-4004
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0101258210
VA
207Q00000X
Family Medicine Physician
MT200875
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1649531401
—
VA
Enumeration date
06/07/2012
Last updated
09/27/2021
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