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Contact Information

JAYSON WATABE, PA
167 N MAIN STREET
TUBA CITY, AZ86045
 Phone: 928-283-2501
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physician Assistant

363A00000X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for JAYSON WATABE · (Male)

NPI # 1417359605
Status Active
Credentials PA (Physician Assistant)
Entity Individual
Enumeration date 09/19/2014
Last updated 09/19/2014 - About 12 years ago
Sole proprietor 1 Yes
Identifiers Not Available
Hospital affiliation(s)
  • TUBA CITY REGIONAL HEALTH CARE CORPORATION - (Acute Care)
    PO BOX 600
    TUBA CITY, AZ 86045
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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