Individual
GREGORY JONES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
915 N GRAND BLVD, SAINT LOUIS, MO 63106-1621
(314) 652-4100
Mailing address
915 N GRAND BLVD, SAINT LOUIS, MO 63106-1621
(314) 652-4100
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
041431839
IL
163W00000X
Registered Nurse
Primary
110187
MO
Other
Enumeration date
10/18/2016
Last updated
10/18/2016
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