Jason Michael Van-Brunt, PA-C

NPI #1619379815 in Grants Pass, Oregon

Provider Information

NPI Number: 1619379815
Entity Type: Individual
Name: Jason Michael Van-Brunt, PA-C
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA-C
Enumeration Date: Sep 18, 2014
Last Updated: Sep 18, 2014

Practice Location

Address: 625 SW RAMSEY AVE
Address 2: SUITE A
City: Grants Pass
State: Oregon
ZIP Code: 97527-5808
Phone: (541) 472-7956

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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