Individual
DUSTIN J JONES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
1301 MAIN ST, SUITE 10, SALMON, ID 83467-4451
(208) 756-2020
(208) 756-3741
Mailing address
1301 MAIN ST, SUITE 10, SALMON, ID 83467-4451
(208) 756-2020
(208) 756-3741
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
5156353-9934
UT
152WC0802X
Corneal and Contact Management Optometrist
Primary
ODP-100011
ID
Other
Enumeration date
10/12/2006
Last updated
03/13/2013
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