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NPI Code Detail

MEDICARE: JASON BERNARD MCKOWN PA

MEDICARE:   JASON BERNARD MCKOWN  PA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363AS0400XSurgical Physician Assistant0003503CO
2363AS0400XSurgical Physician Assistant2011NE

General Provider Information

NPI Number : 1225346778
Entity Type Code : Individual
Provider Name (Legal Business Name) : JASON BERNARD MCKOWN PA
Provider Business Mailing Address
First Line : 705 MARKETPLACE PLZ STE 200
Second Line :
City : STEAMBOAT SPRINGS
State : CO
Zip : 80487-1841
Country : US
Telephone Number : 970-879-6663
Fax Number :
Provider Business Practice Location Address
First Line : 705 MARKETPLACE PLZ STE 200
Second Line :
City : STEAMBOAT SPRINGS
State : CO
Zip : 80487-1841
Country : US
Telephone Number : 970-879-6663
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/17/2010
Last Update Date : 11/13/2024

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Directions to “ JASON BERNARD MCKOWN PA” Practice Location

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