Individual
DR. JASON WAYNE DEFLUITER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
1343 HIGHWAY 93 NORTH, EUREKA, MT 59917-9503
(406) 297-2438
(406) 297-3374
Mailing address
1343 HWY 93 NORTH, EUREKA, MT 59917-9503
(406) 297-2438
(406) 297-3374
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
19773
MT
207Q00000X
Family Medicine Physician
2010019750
MO
207Q00000X
Family Medicine Physician
DO159859
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1669780433
—
MT
Enumeration date
09/15/2010
Last updated
11/20/2015
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