JASON R SOUTHALL

HUNTINGTON, WV
NPI1316117930
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: WV  01257)
Enumeration Date2008-03-11
Last Update Date2021-04-14
Business Address
Mr. JASON R SOUTHALL PA-C
2 STONECREST DR
HUNTINGTON, WV 25701-9391
Phone number: 304-525-2273
Mailing Address
Mr. JASON R SOUTHALL PA-C
2 STONECREST DR
HUNTINGTON, WV 25701-9391
Phone number: 304-525-2273
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