Individual
JASON C HARRILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
1520 S DOBSON RD, STE 307, MESA, AZ 85202-4725
(480) 844-8218
(480) 844-9950
Mailing address
1520 S DOBSON RD, STE 307, MESA, AZ 85202-4725
(480) 844-8218
(480) 844-9950
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
0539
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2Z0497
HEALTHNET OF ARIZONA
AZ
01
—
7554489
AETNA
AZ
05
—
791633
—
AZ
01
—
AZ0195030
BLUE CROSS BLUE SHIELD
AZ
Enumeration date
03/24/2006
Last updated
12/12/2007
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