Search › Arizona › 246ZS0410X
Jason Fort, CST/CSA
NPI 1417228909 · on the registry since 2012 · sole proprietor
Practice
- Address
- 2778 E Superior Rd
San Tan Valley, AZ 85143 - Phone
- (480) 313-9045
- Fax
- (480) 987-2186
Registry record
- Primary taxonomy
- 246ZS0410X
246ZS0410X
- Also registered as
- 246ZS0410X
- Licence states on file
- OR, AZ
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2014-08-12
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Arizona