Individual
PETER JOHN JONES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
777 HOSPITAL WAY, POCATELLO, ID 83201-5175
(208) 239-2724
Mailing address
777 HOSPITAL WAY, POCATELLO, ID 83201-5175
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
1618
NH
Other
Enumeration date
10/05/2006
Last updated
07/19/2012
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