Individual
DR. ROGER E JONES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
819 S 3RD ST, CLINTON, IN 47842-2205
(765) 832-2464
(765) 832-1638
Mailing address
PO BOX 266, CLINTON, IN 47842-0266
(765) 832-9301
(765) 832-9302
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
01060775A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
300002299
—
IN
Enumeration date
09/26/2005
Last updated
06/17/2021
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