Individual
REESE DAYLEN JONES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1355 S HIGLEY RD STE 104, URGENT CARE EXTRA, GILBERT, AZ 85296-4799
(480) 840-6600
(480) 840-6699
Mailing address
1250 S CLEARVIEW AVE STE 100, URGENT CARE EXTRA, MESA, AZ 85209-3378
(480) 988-9108
(480) 813-4460
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
4493
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
468565
—
AZ
01
—
651170616
TAX ID
AZ
01
—
Z133622
MEDICARE PTAN
AZ
Enumeration date
10/08/2009
Last updated
08/24/2015
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