Individual provider · NPI-1
Jason Asistores, MD
Family Medicine · Staunton, VA
NPI number1649531401
StatusActive
Last updated in NPPESSep 27, 2021
Details
- NPI
- 1649531401
- Entity type
- Individual (NPI-1)
- Name
- Jason Asistores
- Credential
- MD
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Jun 7, 2012
- Certification date
- Sep 27, 2021
- Last updated
- Sep 27, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | 0101258210 | VA | Yes |
| 207Q00000X | Family Medicine | MT200875 | PA |
Practice location
15 Terry Ct Ste EStaunton, VA 24401-2568
Phone 540-328-2871 · Fax 540-675-4004
Mailing address
15 Terry Ct Ste EStaunton, VA 24401-2568
Phone 540-328-2871 · Fax 540-675-4004
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