Organization
JASON M DEFEE, MD, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JASON MILES DEFEE M.D. (OWNER)
(325) 658-8020
Entity
Organization
Contact information
Practice address
3814 SHERWOOD WAY, SAN ANGELO, TX 76901-3539
(325) 658-8020
(325) 482-8608
Mailing address
3814 SHERWOOD WAY, SAN ANGELO, TX 76901-3539
(325) 658-8020
(325) 482-8608
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
L6027
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
170094001
—
TX
Enumeration date
01/16/2007
Last updated
09/21/2016
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