Individual
MR. BRENNON GARY JONES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
18209 SR 410 E STE 303, BONNEY LAKE, WA 98391-5146
(253) 431-2249
Mailing address
18209 SR 410 E STE 303, BONNEY LAKE, WA 98391-5146
(253) 431-2249
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
11918893-1206
UT
363A00000X
Physician Assistant
Primary
PA.PA.70013431
WA
Other
Enumeration date
10/08/2008
Last updated
08/07/2025
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