Provider Demographics
NPI:1285920017
Name:BILL, JASON GARY (MD)
Entity type:Individual
Prefix:DR
First Name:JASON
Middle Name:GARY
Last Name:BILL
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:660 S EUCLID AVE
Mailing Address - Street 2:CB 8124
Mailing Address - City:SAINT LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63110-1010
Mailing Address - Country:US
Mailing Address - Phone:314-747-2075
Mailing Address - Fax:314-454-5042
Practice Address - Street 1:1 BARNES JEWISH HOSPITAL PLZ
Practice Address - Street 2:
Practice Address - City:SAINT LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63110-1003
Practice Address - Country:US
Practice Address - Phone:314-747-2075
Practice Address - Fax:314-454-5042
Is Sole Proprietor?:No
Enumeration Date:2011-06-20
Last Update Date:2018-07-10
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Provider Licenses
StateLicense IDTaxonomies
MO2013013686207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology