Jason Wayne Defluiter D.O.

NPI 1669780433 - Family Medicine - 207Q00000X

NPI Details
NPI 1669780433
Gender Male
Enumeration Date 09/15/2010
Last Updated 11/20/2015
Entity Type Individual
Active Over 6 years ago
Practice Location
1343 HIGHWAY 93 NORTH
EUREKA MT, 59917-9503, US
Phone (406) 297-2438
Fax (406) 297-3374
Business Location
1343 HWY 93 NORTH
EUREKA MT, 59917-9503, US
Phone (406) 297-2438
Fax (541) 768-4971
Toxanomy
Taxonomy Code 207Q00000X
License State Missouri
License Number 2010019750
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According to our database, Dr. Jason Wayne Defluiter D.O. NPI is 1669780433, taxonomy code is 207Q00000X and license number is 2010019750, license state is located at Missouri. Jason Wayne Defluiter D.O. physically located at 1343 Highway 93 North, Eureka MT, 59917-9503. NPI Number Jason Wayne Defluiter D.O. has the Individual type.

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1669780433 NPI number is provided on an as is basis without warranty of any kind. 1669780433 is maintained by the National Plan & Provider Enumeration System. The contents of Jason Wayne Defluiter D.O. are for informational purposes only.