Individual
GILBERT N JONES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
12303 DEPAUL DRIVE, BRIDGETON, MO 63044
(314) 344-6000
Mailing address
1836 LACKLAND HILL PKWY, ATTENTION: CREDENTIALING DEPARTMENT, SAINT LOUIS, MO 63146-3572
(314) 989-0300
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
101755
MO
208000000X
Pediatrics Physician
Primary
101755
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
205249501
—
MO
Enumeration date
05/24/2006
Last updated
03/28/2016
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