Individual
DR. JASON THEODORE KORECKIJ
Active
Individual
DR. JASON THEODORE KORECKIJ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207XS0117X
Orthopaedic Surgery of the Spine Physician
Primary
2009007659
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
104180020
PTAN
MO
Enumeration date
07/10/2006
Last updated
03/17/2025
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