Individual
DR. JASON LAURENCE PIZZOLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
201 CASSELL DR, KINGSPORT, TN 37660-3747
(423) 245-9626
Mailing address
120 E BEAUREGARD AVE, SAN ANGELO, TX 76903-5919
(325) 628-1511
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
01065937A
IN
Other
Enumeration date
10/24/2008
Last updated
10/30/2015
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