JASON T. GAISFORD

FORT WAYNE, IN
NPI1679909931
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: IN  10001602A)
Enumeration Date2013-09-18
Last Update Date2019-08-23
Business Address
JASON T. GAISFORD PA-C
1721 MAGNAVOX WAY
FORT WAYNE, IN 46804-1537
Phone number: 260-748-3651
Mailing Address
JASON T. GAISFORD PA-C
PO BOX 670
HUNTERTOWN, IN 46748-0670
Phone number: 260-748-3650
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