Organization
SANDSTONE CLINIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. IVAN JONES BSN (OWNER)
(435) 220-1051
Entity
Organization
Contact information
Practice address
49314 HIGHWAY US-191, ROCK POINT, AZ 86545-8654
(928) 659-4141
(928) 659-4299
Mailing address
PO BOX 394, ROCK POINT, AZ 86545-0394
(928) 659-4141
(928) 659-4299
Taxonomy
Speciality
Code
Description
License number
State
163WW0000X
Wound Care Registered Nurse
Primary
—
—
207Q00000X
Family Medicine Physician
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
332BX2000X
Oxygen Equipment & Supplies (DME)
—
—
Other
Enumeration date
01/05/2022
Last updated
12/12/2024
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