Individual
JASON PHILIP BRINTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
2016012564
MO
207W00000X
Ophthalmology Physician
37905
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
04-35082
KANSAS MEDICAL LICENSE
KS
01
—
37905
IOWA MEDICAL LICENSE
IA
Enumeration date
07/03/2008
Last updated
03/27/2017
Update your record
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