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Jason Mayberry, PAC
Surgical Physician Assistant in Spokane, Washington
NPI 1255403861

Jason Mayberry is a Surgical Physician Assistant based in Spokane, WA and is specialized in Surgical. Jason Mayberry practices in Spokane, WA and has the professional credentials of PAC. The NPI Number for Jason Mayberry is 1255403861 and holds a License No. PA19289 (Washington).

The current practice location address for Jason Mayberry is 62 W 7Th Ave Ste 110, Spokane, WA and can be reached out via phone at 509-462-6485 and via fax at 509-462-5059.

Location: 62 W 7Th Ave Ste 110, Spokane, WA, 99204-2321
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1255403861
Provider Name
Jason Mayberry
Credential
PAC
Provider Entity Type
Individual
Gender
Male
Address
62 W 7Th Ave Ste 110, Spokane, WA, 99204-2321
Phone Number
509-462-6485
Fax Number
509-462-5059
Provider Enumeration Date
11/15/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
PA19289 01 CA LICENSE
0PA192890 01 MEDICARE INDIVIDUAL PTAN
institution
Provider Business Practice Location Address Details
Address
62 W 7Th Ave Ste 110
City
Spokane
State
Washington
Zip
99204-2321
Phone Number
509-462-6485
Fax Number
509-462-5059
person
Provider Business Mailing Address Details
Address
62 W 7Th Ave Ste 110
City
Spokane
State
Washington
Zip
99204-2321
Phone Number
509-462-6485
Fax Number
509-462-5059
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
-
Taxonomy
363A00000X
License No.
PA60698165 (Washington)
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Surgical
Taxonomy
363AS0400X
License No.
PA19289 (California)
Definition
Definition to come...
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