Individual
DR. JASON MCCOURT
Active
Individual
DR. JASON MCCOURT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
R74074
AZ
2085R0202X
Diagnostic Radiology Physician
Primary
ME134589
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
R74074
TRAINING PERMIT
AZ
Enumeration date
06/19/2013
Last updated
06/25/2018
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