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Individual

DR. ERIC BRENDON JONES

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
O.D.

Contact information

Practice address
2840 HWY. 95, SUITE #108, BULLHEAD CITY, AZ 86442
(928) 758-2020
(928) 758-4544
Mailing address
2840 HWY. 95, SUITE #108, BULLHEAD CITY, AZ 86442
(928) 758-2020
(928) 758-4544

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1499
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1285694174
NPI
AZ
01
1760692768
NPI
AZ
01
Z114980
PTAN
AZ
01
Z114997
PTAN
AZ
Enumeration date
03/24/2006
Last updated
11/25/2008
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