Individual
DR. DAVID EDWARD JONES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
6625 LYNDALE AVE S STE 105, RICHFIELD, MN 55423-2673
(612) 243-8999
(612) 869-3473
Mailing address
6625 LYNDALE AVE S STE 300, RICHFIELD, MN 55423-2491
(612) 788-8778
(612) 869-3473
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
36002093
OH
213E00000X
Podiatrist
Primary
553
MN
213ES0103X
Foot & Ankle Surgery Podiatrist
3327
NY
213ES0103X
Foot & Ankle Surgery Podiatrist
553
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000492694
ANTHEM PIN
OH
05
—
0490900
—
OH
01
—
34200774700
BUREAU OF WORKERS COMPENS
OH
01
—
P00923858
MEDICARE RAIL ROAD
MN
Enumeration date
09/07/2005
Last updated
03/07/2023
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