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Individual

JASON J HELLMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PA-C

Contact information

Practice address
2400 32ND AVE S, FARGO, ND 58103-5800
(701) 234-8770
(701) 234-8779
Mailing address
PO BOX 5074, SIOUX FALLS, SD 57117-5074
(701) 237-9712
(701) 237-0922

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PAC0318
ND
363AM0700X
Medical Physician Assistant
PAC0318
ND

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
71102
ND
Enumeration date
07/18/2006
Last updated
03/03/2023
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