Jonathan William Herschel Eubanks, Physician Assistant
Physician Assistant in Minot, ND. Individual provider (NPI-1).
NPI number1790242527
StatusActive
Last updated in NPPESJul 15, 2026
Details
- NPI
- 1790242527
- Entity type
- Individual (NPI-1)
- Name
- Jonathan William Herschel Eubanks
- Credential
- Physician Assistant
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Feb 28, 2019
- Certification date
- Jul 15, 2026
- Last updated
- Jul 15, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363A00000X | Physician Assistant | – | – | Yes |
| 171000000X | Military Health Care Provider | – | – |
Practice location
10 Missile AveMinot, ND 58705-5003
Phone 701-723-5633
Mailing address
10 Missile AveMinot, ND 58705-5003
Phone 701-723-5633
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All 18 Physician Assistant providers in Minot · All 2,331 providers in Minot
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