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Individual

DR. JASON MARTIN CONAUGHTY

Active
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Individual

DR. JASON MARTIN CONAUGHTY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
01081103A
IN
207XS0117X
Orthopaedic Surgery of the Spine Physician
01081103A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
500623245
OR
01
P00890807
RAIL ROAD MEDICARE
OR
01
P01007268
RAIL ROAD MEDICARE
OR
Enumeration date
06/02/2006
Last updated
03/22/2022
Update your record

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