Individual
MR. JASON DUWAYNE TOWNZEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
2555 MARVIN RD NE, LACEY, WA 98516-3138
(360) 493-4450
Mailing address
2555 MARVIN RD NE, LACEY, WA 98516-3138
(360) 493-4450
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
OP60913630
WA
Other
Enumeration date
07/03/2015
Last updated
11/02/2021
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