Individual
MR. MARVIN LEE JONES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSN, CRNA
Contact information
Practice address
1390 BILL VIRDON BLVD, WEST PLAINS, MO 65775-3383
(417) 256-2225
(417) 256-2373
Mailing address
1390 BILL VIRDON BLVD, WEST PLAINS, MO 65775-3383
(417) 256-2225
(417) 256-2373
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
2000157074
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
915032015
—
MO
Enumeration date
06/17/2005
Last updated
06/15/2010
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