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Organization
WALTER JONES, III, M.D., INC.
Active
Organization
WALTER JONES, III, M.D., INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WALTER JONES III M.D. (OWNER)
(909) 748-6569
Entity
Organization
Contact information
Practice address
255 TERRACINA BLVD, STE# 101A & B, REDLANDS, CA 92373-4870
(909) 748-6569
Mailing address
PO BOX 163, REDLANDS, CA 92373-0061
(909) 748-6569
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
A54962
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A549620
—
CA
01
—
P00002131
RAILROAD MEDICARE
CA
Enumeration date
10/09/2007
Last updated
09/23/2008
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