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Organization
DALE E. JONES, MD PSC
Active
Organization
DALE E. JONES, MD PSC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DALE E. JONES M.D. (PHYSICIAN OWNER)
(270) 251-4545
Entity
Organization
Contact information
Practice address
1029 MEDICAL CENTER CIR, MAYFIELD, KY 42066-1189
(270) 251-4545
(270) 251-4546
Mailing address
1029 MEDICAL CENTER CIR, MAYFIELD, KY 42066-1189
(270) 251-4545
(270) 251-4546
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
NULL
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000050819
ANTHEM
KY
05
—
64241284
—
KY
Enumeration date
05/30/2007
Last updated
10/08/2010
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