Provider Demographics
NPI:1275971079
Name:JARMAN, BRIAN K (PA-S)
Entity Type:Individual
Prefix:
First Name:BRIAN
Middle Name:K
Last Name:JARMAN
Suffix:
Gender:M
Credentials:PA-S
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4905 N BERKELEY AVE
Mailing Address - Street 2:
Mailing Address - City:SAN BERNARDINO
Mailing Address - State:CA
Mailing Address - Zip Code:92407-3015
Mailing Address - Country:US
Mailing Address - Phone:909-883-7321
Mailing Address - Fax:
Practice Address - Street 1:4905 N BERKELEY AVE
Practice Address - Street 2:
Practice Address - City:SAN BERNARDINO
Practice Address - State:CA
Practice Address - Zip Code:92407-3015
Practice Address - Country:US
Practice Address - Phone:909-883-7321
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-06-13
Last Update Date:2013-06-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant