Individual
DR. JASON ROBERT JEFFRESS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3000 32ND AVE S, FARGO, ND 58103-6132
(701) 364-8000
Mailing address
1702 UNIVERSITY DR S, FARGO, ND 58103-4940
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
01084510A
IN
2085R0202X
Diagnostic Radiology Physician
Primary
17957
ND
2085R0204X
Vascular & Interventional Radiology Physician
01084510A
IN
Other
Enumeration date
07/13/2015
Last updated
07/19/2022
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