Jason K Manthei, PA Valid NPI

Individual provider · Physician Assistant · Gillespie, IL

NPI

1477586121

Type

Individual (Type 1)

Primary specialty

Physician Assistant

Specialty group

Physician Assistants & Advanced Practice Nursing Providers

Taxonomy code

363A00000X

Sex

Male

Sole proprietor

No

Enumerated

2006-07-08

Last updated

2008-04-10