Individual
JASON ITRI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
11995 SINGLETREE LN STE 500, EDEN PRAIRIE, MN 55344-5349
(952) 595-1100
Mailing address
11995 SINGLETREE LN STE 500, EDEN PRAIRIE, MN 55344-5349
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
0101259633
VA
Other
Enumeration date
06/29/2007
Last updated
05/24/2021
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