MR. Jason William Ptak, PA-C is a medical physician assistant in Boise, ID with 10 years of experience. MR. Jason William Ptak, PA-C NPI is 1437566338. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
The provider's business location address is:
6051 W EMERALD ST
BOISE, ID
ZIP 83704-969
Phone: (208) 302-5150
Fax: (208) 302-5155
The NPI 1437566338 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.
The enumeration date for this NPI number is 7/13/2014 and was last updated on 5/17/2021.