MR. Jason Matthew Meltzer, PA-C

NPI #1962691568 in Rockford, Illinois

Provider Information

NPI Number: 1962691568
Entity Type: Individual
Name: MR. Jason Matthew Meltzer, PA-C
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA-C
Enumeration Date: Oct 18, 2007
Last Updated: Oct 18, 2007

Practice Location

Address: 1401 E STATE ST
City: Rockford
State: Illinois
ZIP Code: 61104-2315
Phone: (815) 968-4400

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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