Individual
JASON G HOMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
320 E NORTH AVE STE 208, PITTSBURGH, PA 15212-4756
(412) 359-6200
(412) 359-6617
Mailing address
320 E NORTH AVE STE 208, PITTSBURGH, PA 15212-4756
(412) 359-6200
(412) 359-6617
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
MA050987
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
103202503
—
PA
Enumeration date
02/27/2007
Last updated
10/01/2020
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