Individual provider · Type 1 NPI

Jason A. Primus, MD

Student in an Organized Health Care Education/Training Program · Scottsdale, AZ

NPI number 1649684309 Active

Practice location

13400 E Shea Blvd
Scottsdale, AZ 85259-5452

Call (507) 284-2511 Map

Other practice locations

  • 1698 E Mcandrews Rd Ste 160, Medford, OR 97504-5590 · (541) 732-7874

Specialties and licenses

TaxonomyCodeLicense
Surgery Physician 208600000XMD197678 (OR)
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1649684309

Jason A. Primus, MD's National Provider Identifier is 1649684309, issued on Jun 19, 2014. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Scottsdale, AZ. The record was last updated on Mar 24, 2021.