Doctor Name: | DR. JASON T REXROAD |
NPI Number: | 1275552127 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D. |
License Number: | 33324 |
Business Practice Address: | 11 Hospital Dr Machias, ME - 046543325 |
Business Phone Number: | 2072553356 |
Business Fax Number: | |
Mailing Address: | 11 Hospital Dr, MACHIAS |
State: | ME |
Postal Code: | 046543325 |
Phone Number: | 2072553356 |
Fax Number: | |
NPI Enumeration Date: | 07/19/2006 |
NPI Last Update Date: | 09/25/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2085R0202X |
License Number: | 33324 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | SC |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Radiology |
Taxonomy Specialization: | Diagnostic Radiology |
Taxonomy Definition: | A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |