Organization
JERRY L JONES MD PROFESSIONAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JERRY JONES M.D. (OWNER/PRESIDENT)
(702) 384-5400
Entity
Organization
Contact information
Practice address
400 SHADOW LN, SUITE 103, LAS VEGAS, NV 89106-4363
(702) 384-5400
(702) 384-0648
Mailing address
400 SHADOW LN, SUITE 103, LAS VEGAS, NV 89106-4363
(702) 384-5400
(702) 384-0648
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
4676
NV
Other
Enumeration date
12/01/2015
Last updated
12/09/2015
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