JASON MICHAEL VAN-BRUNT

GRANTS PASS, OR
NPI1619379815
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: OR  PA166125)
Enumeration Date2014-09-18
Last Update Date2014-09-18
Business Address
JASON MICHAEL VAN-BRUNT PA-C
625 SW RAMSEY AVE SUITE A
GRANTS PASS, OR 97527-5808
Phone number: 541-472-7956
Mailing Address
JASON MICHAEL VAN-BRUNT PA-C
2620 E BARNETT RD #H
MEDFORD, OR 97504-8344
Phone number: 541-789-4281