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General NPI Number Information
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NPI Number | 1811424815
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Entity Type | Individual
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Provider Name | JASON DOEL MD
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Gender | Male
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Dates
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Enumeration Date | 05/22/2017
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Last Update Date | 10/10/2024
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Provider Practice Location Address
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Address Line | 2071 HERNDON AVE
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City | CLOVIS
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State | CA
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Zip | 93611-6101
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Country | US
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Telephone | 559-324-5100
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Fax |
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Provider Business Mailing Address
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Address Line | 2071 HERNDON AVE
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City | CLOVIS
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State | CA
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Zip | 93611-6101
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | BP10059850
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | A197461
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License Number State | CA
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Taxonomy #3
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | R8725
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License Number State | TX
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