Organization
CENTRAL INDIANA OB/GYN, LLC
Active
Other names
Roger E. Jones, M.D.
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROGER E. JONES M.D. (OWNER)
(765) 729-4903
Entity
Organization
Contact information
Practice address
3111 W JACKSON ST, SUITE 200, MUNCIE, IN 47304-4371
(765) 288-2200
(765) 288-0913
Mailing address
3111 W JACKSON ST, SUITE 200, MUNCIE, IN 47304-4371
(765) 288-2200
(765) 288-0913
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01060775A
IN MEDICAL LICENSE
IN
01
—
01060775B
IN CDS
IN
05
—
200522530
—
IN
Enumeration date
09/28/2006
Last updated
03/18/2009
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