Individual
JONATHAN OWEN JONES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2500 FARMINGTON AVE, FARMINGTON, NM 87401-4504
(505) 609-6830
Mailing address
PO BOX 844088, DALLAS, TX 75284-4088
(505) 609-2243
(505) 609-2259
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
MD2010-023
NM
208VP0000X
Pain Medicine Physician
MD2010-0239
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1518178763
—
UT
05
—
537713
—
AZ
05
—
70433569
—
NM
05
—
85958573
—
CO
Enumeration date
05/26/2007
Last updated
11/07/2024
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