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Individual

DR. MATTHEW B JONES

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1621 DALTON TER, MANCHESTER, MO 63021
(636) 399-3073
Mailing address
1621 DALTON TER, MANCHESTER, MO 63021-7078
(636) 399-3073

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
R9N80
MO
207LP3000X
Pediatric Anesthesiology Physician
R9N80
MO
208VP0000X
Pain Medicine Physician
35.096959
OH
208VP0000X
Pain Medicine Physician
Primary
R9N80
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
203347505
MO
05
3139062
OH
01
35.096959
OHIO LICENSE
OH
01
H142800
MEDICARE PTAN - COMPREHENSIVE PAIN MANAGAEMENT SPECIALISTS
OH
Enumeration date
07/17/2006
Last updated
08/04/2018
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