Individual
MARK BRIAN JONES
Active
Individual
MARK BRIAN JONES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
PA.0000722
CO
363AS0400X
Surgical Physician Assistant
PA20750
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1841240454
—
CA
Enumeration date
01/12/2007
Last updated
10/17/2016
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