Individual
JASON JACK SPAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
3015 3RD AVE SE, ABERDEEN, SD 57401-5418
(605) 226-5514
Mailing address
3015 3RD AVE SE, ABERDEEN, SD 57401-5418
(605) 226-5514
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
R038526
SD
Other
Enumeration date
03/16/2012
Last updated
05/04/2012
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