Jason Matthew Ippolito

NPI #1275413924 in Cheyenne, Wyoming

Provider Information

NPI Number
1275413924
Entity Type
Individual
Name
Jason Matthew Ippolito
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Durable Medical Equipment & Medical Supplies
Enumeration Date
Sep 4, 2025
Last Updated
Sep 5, 2025

Practice Location

Address
1603 CAPITOL AVE STE 413C1029
State
Wyoming
ZIP Code
82001-4569
Phone
(951) 640-0321

Specialties & Taxonomy Codes

Specialty
Durable Medical Equipment & Medical Supplies

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