Jason Fort, CST/CSA
Jason Fort, CST/CSA is a Surgical Technologist in San Tan Valley, Arizona. Practices as a sole proprietor. Licensed in Arizona and Oregon.
- Licensed in
- AZ, OR
- In the registry since
- 2012
- Specialties on file
- 2
Practice location Address checks out
2778 E Superior RdSan Tan Valley, AZ 85143-4573
Phone: (480) 313-9045
Fax: (480) 987-2186
Show map & directions
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Surgical Technologist (primary) | Taxonomy 246ZS0410X · Licence L18709787 (AZ) |
|---|---|
| Surgical Technologist | Taxonomy 246ZS0410X · Licence 454110172 (OR) |
Record details
| NPI number | 1417228909 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | CST/CSA |
| Sole proprietor | Yes |
| NPI enumerated | January 16, 2012 |
| Last updated in NPPES | August 12, 2014 |
| Mailing address | 2778 E Superior Rd, San Tan Valley, AZ 85143-4573 |