Provider Demographics
NPI:1134325756
Name:FERRARI, JASON KENT (MD)
Entity Type:Individual
Prefix:
First Name:JASON
Middle Name:KENT
Last Name:FERRARI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:3811 E BELL RD STE 309
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85032-2160
Mailing Address - Country:US
Mailing Address - Phone:602-726-8940
Mailing Address - Fax:602-726-8941
Practice Address - Street 1:3811 E BELL RD STE 309
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85032-2160
Practice Address - Country:US
Practice Address - Phone:602-726-8940
Practice Address - Fax:602-726-8941
Is Sole Proprietor?:No
Enumeration Date:2007-06-21
Last Update Date:2017-01-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ43182207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery