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Individual

GREGORY P JONES

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
775 POLE LINE RD W, SUITE 111, TWIN FALLS, ID 83301-5814
(208) 814-8000
(208) 733-9402
Mailing address
PO BOX 587, TWIN FALLS, ID 83303-0587
(208) 814-7400
(208) 814-7491

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
M8110
ID

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
806046800
ID
Enumeration date
06/16/2006
Last updated
01/07/2015
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