| Jason Stutzman | |
|
1925 E Dakota Ave Fresno CA 93726-4821 | |
| (559) 459-1615 | |
| Not Available |
| Full Name | Jason Stutzman |
|---|---|
| Speciality | Clinic/center - Infusion Therapy |
| Location | 1925 E Dakota Ave, Fresno, California |
| Authorized Official Name and Position | Jason Stutzman (NURSE PRACTITIONER) |
| Authorized Official Contact | 5593216211 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jason Stutzman 1925 E Dakota Ave Fresno CA 93726-4821 Ph: () - | Jason Stutzman 1925 E Dakota Ave Fresno CA 93726-4821 Ph: (559) 459-1615 |
| NPI Number | 1003162801 |
|---|---|
| Provider Enumeration Date | 07/30/2012 |
| Last Update Date | 08/09/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003162801 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | 21511 (California) | Secondary |
| 261QI0500X | Clinic/center - Infusion Therapy | 21511 (California) | Primary |
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