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Individual

BRENDA FAYE JONES

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
330 N SANDHILL BLVD STE A, MESQUITE, NV 89027-4779
(702) 346-2950
(702) 346-3795
Mailing address
161 W 200 N STE 200, ST GEORGE, UT 84770-7386
(435) 986-2020
(435) 652-1516

Taxonomy

Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
17844
NV
207W00000X
Ophthalmology Physician
55641
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0095420000
WV
05
0672106
OH
05
1588663645
NV
05
1588663645
UT
01
P01296262
RAILROAD MEDICARE - MHCPI
OH
Enumeration date
07/20/2005
Last updated
05/08/2018
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