Jason K Manthei, PA

NPI #1477586121 in Gillespie, Illinois

Provider Information

NPI Number: 1477586121
Entity Type: Individual
Name: Jason K Manthei, PA
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA
Enumeration Date: Jul 8, 2006
Last Updated: Apr 10, 2008

Practice Location

Address: 715 BROADWAY ST
City: Gillespie
State: Illinois
ZIP Code: 62033-1166
Phone: (217) 839-4491

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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