Jason Mayberry is a Surgical in Spokane, Washington. Jason Mayberry practices all healthcare services and medical treatments related to Surgical. The NPI Number for Jason Mayberry is 1255403861. The last update date is 2021-06-17.
Jason Mayberry's current location address is 62 W 7th Ave Ste 110, Spokane, Washington. You can contact this provider via phone number 5094626485 and fax number 5094625059. The mailing address for Jason Mayberry is 62 W 7th Ave Ste 110, Spokane, Washington. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jason Mayberry |
|---|---|
| Address | 62 W 7th Ave Ste 110, Spokane, Washington |
| Phone Number | 5094626485 |
| Fax Number | 5094625059 |
| Sole Proprietor | N |
| Credentials | PAC |
NPI Number Detail
| NPI Number | 1255403861 |
|---|---|
| Provider Enumeration Date | 2006-11-15 |
| Last Updated Date | 2021-06-17 |
Provider Mailing Address Detail
| Address | 62 W 7th Ave Ste 110 |
|---|---|
| City | Spokane |
| State | Washington (WA) |
| Post Code | 992042321 |
| Phone Number | 5094626485 |
| Fax Number | 5094625059 |
Provider's Primary Taxonomy Detail
| Speciality | Surgical |
|---|---|
| Taxonomy | 363As0400X |
| Licence No | PA60698165 |
|
Definition: A licensed healthcare professional who assists in providing surgical care under physician supervision. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| PA19289 | CA | LICENSE | |
| 0PA192890 | MEDICARE INDIVIDUAL PTAN |
Post Comment/ Review Below
What is the unique provider identifier assigned to Jason Mayberry?
The Jason Mayberry has been issued the NPI (National Provider Identifier) 1255403861 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Where is the Jason Mayberry located?
The Jason Mayberry is located at 62 W 7Th Ave Ste 110, Spokane, WA 992042321.
What is Jason Mayberry's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Jason Mayberry is Surgical, and the taxonomy code that classifies this field of practice is 363As0400X.
When was the Jason Mayberry's 1255403861 issued?
The Jason Mayberry's 1255403861 was issued on 2006-11-15.
When was the information related to Jason Mayberry most recently updated or refreshed?
The details pertaining to the Jason Mayberry, including its address, specialty, and other relevant information, were last updated or refreshed on 2021-06-17.
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