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General NPI Number Information
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NPI Number | 1992335020
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Entity Type | Organization
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Legal Business Name | JASON A AHEE MD PC
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Dates
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Enumeration Date | 01/16/2020
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Last Update Date | 01/03/2024
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Provider Practice Location Address
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Address Line | 1301 BERTHA HOWE AVE STE 11
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City | MESQUITE
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State | NV
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Zip | 89027-7503
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Country | US
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Telephone | 702-346-9175
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Fax |
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Provider Business Mailing Address
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Address Line | 1791 E 280 N
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City | ST GEORGE
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State | UT
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Zip | 84790-2400
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Country | US
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Telephone | 435-656-2020
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Fax |
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Authorized Official
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Title or Position | CREDENTIALING MANAGER
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Name | ROSA CAMPOS
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Credential |
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Telephone | 435-656-2020
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number |
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License Number State |
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