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Individual
WILBERT JONES
Active
Individual
WILBERT JONES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
30521
AZ
207R00000X
Internal Medicine Physician
MD27150
OR
208M00000X
Hospitalist Physician
Primary
MD27150
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
276222
—
OR
05
—
704991-01
—
AZ
01
—
P01458321
RR MEDICARE (PH&S)-PMG
OR
Enumeration date
09/20/2005
Last updated
07/22/2021
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