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Individual

MICHAEL JASKOT

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PA-C

Contact information

Practice address
2780 E BARNETT RD, MEDFORD, OR 97504-8674
(541) 779-6250
(541) 772-2531
Mailing address
3356 TOWSER ST, SAN DIEGO, CA 92123-2242
(530) 318-0871

Taxonomy

Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary

Other

Enumeration date
11/14/2017
Last updated
11/14/2017
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