Individual
SAMUEL NATHAN LEVI JONES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1102 W MACARTHUR ST, SHAWNEE, OK 74804-1743
(405) 878-8174
Mailing address
2224 NW 50TH ST, SUITE 276W, OKLAHOMA CITY, OK 73112-8046
(405) 858-2350
(405) 858-2365
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
18868
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100064870A
—
OK
Enumeration date
07/18/2006
Last updated
06/22/2010
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