Jason Tyler Dumrongkulraksa
NPI #1205115573 in Panama City, Florida
Provider Information
- NPI Number
- 1205115573
- Entity Type
- Individual
- Name
- Jason Tyler Dumrongkulraksa
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Physician Assistant
- Enumeration Date
- Aug 4, 2011
- Last Updated
- Dec 16, 2011
Practice Location
- Address
- 615 N BONITA AVE
- City
- Panama City
- State
- Florida
- ZIP Code
- 32401-3623
- Phone
- (850) 747-6000
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physician Assistant |
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