Individual
JASON D REDD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
21300 N JOHN WAYNE PKWY UNIT 120, MARICOPA, AZ 85139-8979
(623) 253-9550
Mailing address
PO BOX 16297, BEVERLY HILLS, CA 90209-2297
(800) 991-6448
(424) 369-9555
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
11155
AZ
363A00000X
Physician Assistant
Primary
OA60659419
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2006850
—
WA
Enumeration date
02/03/2010
Last updated
04/29/2026
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