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Individual

DR. THOMAS E JONES

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
OD

Contact information

Practice address
940 W MOUNT VERNON ST, SUITE 120, NIXA, MO 65714-9609
(417) 724-5335
(417) 724-5333
Mailing address
940 W MOUNT VERNON ST, SUITE 120, NIXA, MO 65714-9609
(417) 724-5335
(417) 724-5333

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
T02977
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
316675719
MO
01
P00653956
RR MCR
Enumeration date
08/13/2006
Last updated
01/30/2009
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