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Individual

JASON R COLLINS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PA-C

Contact information

Practice address
MADIGAN ARMY MEDICAL CTR, 9040 REID STREET, TACOMA, WA 98431-0001
(253) 968-3885
(253) 968-3278
Mailing address
MADIGAN ARMY MEDICAL CTR, MCHJ-QCR, TACOMA, WA 98431-0001

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
60178570
WA
363AM0700X
Medical Physician Assistant

Other

Enumeration date
01/06/2009
Last updated
12/09/2011
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