Individual
JASON SIMMONS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
310 W LOSEY ST, SCOTT AFB, IL 62225-5250
(618) 256-2273
(618) 256-7653
Mailing address
310 W LOSEY ST, SCOTT AFB, IL 62225-5250
(618) 256-2273
(618) 256-7653
Taxonomy
Speciality
Code
Description
License number
State
171000000X
Military Health Care Provider
PA13221
TX
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
05/14/2015
Last updated
08/07/2024
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