Individual
DR. WALTER D JONES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1850 STATE ST, PATHOLOGY DEPT, NEW ALBANY, IN 47150-4990
(812) 948-7408
(812) 949-5810
Mailing address
PO BOX 1286, NEW ALBANY, IN 47151-1286
(502) 456-6212
(502) 456-4440
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
01026772
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000854782
ANTHEM
KY
05
—
100151810A
—
IN
01
—
50063199
PASSPORT
KY
01
—
64167935
KENTUCKY MEDICAID
KY
01
—
P01286270
MEDICARE RR
IN
Enumeration date
07/06/2006
Last updated
06/10/2014
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