Individual
MR. JASON ALEXANDER DOCTOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
500 HIOAKS RD, RICHMOND, VA 23225-4061
(804) 560-6500
Mailing address
1200 NORMANDY DR, RICHMOND, VA 23229-6711
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
0126001080
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
22
REHABILITATION
VA
Enumeration date
07/21/2010
Last updated
07/21/2010
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