Whalio Doctors

NPI 1013231950

Jason Shaver, PAC

Practitioner Physician Assistant Springfield, MO

Practice location

Address
3800 S National Ave STE 510, Springfield, MO 65807-5284
Phone
(417) 875-3114
Fax
(417) 875-3922
Mailing address
PO Box 9007, Springfield, MO 65808-9007

Registered specialties (3)

Physician Assistant Primary
Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363A00000X Licence 2017027196 (MO)
Physician Assistant
Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363A00000X Licence 085003699 (IL)
Physician Assistant
Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363A00000X Licence PA9106343 (FL)

Registry record

NPI
1013231950
Entity type
Individual
Sex (as registered)
Male
NPI issued
22 Mar 2010
Record last updated
27 Dec 2018

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.