Individual
THERESA ELLEN JONES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
12255 DE PAUL DR STE 360, BRIDGETON, MO 63044-2513
(314) 739-9293
(314) 739-3968
Mailing address
12255 DE PAUL DR STE 360, BRIDGETON, MO 63044-2513
(314) 739-9293
(314) 739-3968
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
2004001643
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
207538109
—
MO
Enumeration date
08/25/2006
Last updated
01/24/2014
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