Individual
DR. CHARLES EARL JONES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4405 HAMILTON BLVD, SIOUX CITY, IA 51104-1140
(712) 239-3937
(712) 239-4946
Mailing address
4405 HAMILTON BLVD, SIOUX CITY, IA 51104-1140
(712) 239-3937
(712) 239-4946
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
17131
IA
207W00000X
Ophthalmology Physician
3309
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10025032100
—
NE
05
—
1903542
—
IA
05
—
236397600
—
MN
05
—
46044447400
—
NE
05
—
7071076
—
IA
05
—
7790412
—
SD
05
—
7790418
—
SD
05
—
7790419
—
SD
Enumeration date
06/09/2005
Last updated
04/07/2015
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