MR. Jason M Staheli, PA-C

NPI #1215327952 in Ogden, Utah

Provider Information

NPI Number: 1215327952
Entity Type: Individual
Name: MR. Jason M Staheli, PA-C
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA-C
Enumeration Date: Feb 3, 2015
Last Updated: Feb 14, 2019

Practice Location

Address: 3903 HARRISON BLVD STE 100
City: Ogden
State: Utah
ZIP Code: 84403-2361
Phone: (801) 387-8900

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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