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Individual

MR. JASON MATTHEW MELTZER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PA-C

Contact information

Practice address
1401 E STATE ST, ROCKFORD, IL 61104-2315
(815) 968-4400
Mailing address
7337 SHILLINGTON DR, ROCKFORD, IL 61107-2792
(815) 212-3815

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
IL

Other

Enumeration date
10/18/2007
Last updated
10/18/2007
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