| Organization Name: | JASON STUTZMAN |
| NPI Number: | 1003162801 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | JASON STUTZMAN (NURSE PRACTITIONER) |
| Mailing Address: | 1925 E Dakota Ave Fresno |
| State: | CA US |
| Postal Code: | 937264821 |
| Phone Number: | 5594591615 |
| Fax Number: | |
| NPI Enumeration Date: | 07/30/2012 |
| NPI Last Update Date: | 08/09/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QP2300X |
| License Number: | 21511 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | CA |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Primary Care |
| Taxonomy Definition: | |