Provider Demographics
NPI:1235462326
Name:CHRISTIAN, JASON D (PA)
Entity Type:Individual
Prefix:
First Name:JASON
Middle Name:D
Last Name:CHRISTIAN
Suffix:
Gender:M
Credentials:PA
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Mailing Address - Street 1:166 W 1325 N STE 250
Mailing Address - Street 2:
Mailing Address - City:CEDAR CITY
Mailing Address - State:UT
Mailing Address - Zip Code:84721-7794
Mailing Address - Country:US
Mailing Address - Phone:435-586-6440
Mailing Address - Fax:435-586-6441
Practice Address - Street 1:166 W 1325 N STE 250
Practice Address - Street 2:
Practice Address - City:CEDAR CITY
Practice Address - State:UT
Practice Address - Zip Code:84721-7794
Practice Address - Country:US
Practice Address - Phone:435-586-6440
Practice Address - Fax:435-586-6441
Is Sole Proprietor?:No
Enumeration Date:2009-09-08
Last Update Date:2009-09-08
Deactivation Date:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant