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Individual
DR. GRENVILLE JONES
Active
Individual
DR. GRENVILLE JONES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
2085R0203X
Therapeutic Radiology Physician
Primary
015280
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
038732
BCBS
ME
05
—
305950099
—
MA
01
—
MM8492
MEDICARE
MA
Enumeration date
09/14/2006
Last updated
02/04/2014
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