Organization
DMV FOOT AND ANKLE CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STACIA N JONES DPM (PODIATRIST)
(347) 560-3338
Entity
Organization
Contact information
Practice address
15480 ANNAPOLIS RD STE 202-437, BOWIE, MD 20715
(347) 560-3338
Mailing address
151 WESTWAY APT 203, GREENBELT, MD 20770-1980
Taxonomy
Speciality
Code
Description
License number
State
213ES0131X
Foot Surgery Podiatrist
Primary
01594
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1058177
—
MD
Enumeration date
05/22/2018
Last updated
06/08/2018
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