Individual
DANNY L JONES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
823 D STREET, SNYDER, OK 73566
(580) 569-2373
(580) 569-2611
Mailing address
PO BOX 785, LAWTON, OK 73502
(580) 357-9984
(580) 357-3277
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA540
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
080130078
RAILROAD MEDICARE
OK
05
—
100711850B
—
OK
01
—
100711850C
SOONERCARE
OK
Enumeration date
09/20/2005
Last updated
01/29/2009
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