Individual
JAMES EDWARD JONES SR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
23 GRANT DR, SAINT PETERS, MO 63376-1208
(636) 397-0079
Mailing address
PO BOX 10, SAINT PETERS, MO 63376-0001
(636) 397-0079
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
31005
MO
Other
Enumeration date
01/01/2012
Last updated
01/01/2012
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