Individual provider · Type 1 NPI

Jason Banuelos, PA

Physician Assistant · Phoenix, AZ

NPI number 1699414870 Active

Practice location

435 N 5th St
Phoenix, AZ 85004-2157

Mailing address

12217 N 129th Dr
El Mirage, AZ 85335-6270

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000X9366 (AZ)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1699414870

Jason Banuelos, PA's National Provider Identifier is 1699414870, issued on Jun 3, 2022. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Phoenix, AZ. The record was last updated on Dec 12, 2023.