Individual provider · Type 1 NPI
Jared Toller
Medical Physician Assistant · Henderson, NV
NPI number
1396341293
Active
Practice location
93 Moon Hill Dr
Henderson, NV 89011-3799
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Medical Physician Assistant | 363AM0700X | 59134 (CA) |
| Medical Physician Assistant | 363AM0700X | 13382949-1206 (UT) |
| Medical Physician Assistant Primary | 363AM0700X | PA2770 (NV) |
Medical Physician Assistant: Definition to come...
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About NPI 1396341293
Jared Toller's National Provider Identifier is 1396341293, issued on Dec 7, 2020. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Henderson, NV. The record was last updated on May 8, 2023.