Organization
JASON A. BRASHEAR
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RICHARD L WOODALL (OFFICE MANAGER)
(765) 827-6724
Entity
Organization
Contact information
Practice address
1941 VIRGINIA AVE, THIRD FLOOR, CONNERSVILLE, IN 47331-2833
(765) 827-6724
(765) 827-7972
Mailing address
1941 VIRGINIA AVE, THIRD FLOOR, CONNERSVILLE, IN 47331-2833
(765) 827-6724
(765) 827-7972
Taxonomy
Speciality
Code
Description
License number
State
207XP3100X
Pediatric Orthopaedic Surgery Physician
Primary
01062383A
IN
Other
Enumeration date
04/26/2007
Last updated
08/22/2020
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