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Individual

DR. MATTHEW PHILIP JONES

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
9680 TAMARACK RD STE 100, WOODBURY, MN 55125-2617
(651) 738-0470
(952) 278-6947
Mailing address
9680 TAMARACK RD STE 100, WOODBURY, MN 55125-2617
(651) 738-0470
(952) 278-6947

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
35275
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1225054
MEDICA
MN
01
3D847JO
BC/BS
MN
05
897703800
MN
01
FP9020802027
PREFERRED ONE
MN
Enumeration date
08/16/2006
Last updated
01/26/2018
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