Individual
DR. LARHONDA R JONES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3394 MCKELVEY RD, STE. 116, BRIDGETON, MO 63044-2531
(314) 209-0900
(314) 209-0912
Mailing address
3394 MCKELVEY RD, STE. 116, BRIDGETON, MO 63044-2531
(314) 209-0900
(314) 209-0912
Taxonomy
Speciality
Code
Description
License number
State
2084P0804X
Child & Adolescent Psychiatry Physician
036-097194
IL
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
109665
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036097194
—
IL
01
—
127583
ANTHEM BLUE CROSS BLUE SH
MO
01
—
15-44745
UNITED HEALTH CARE
MO
05
—
203982012
—
MO
01
—
260205000
MAGELLAN BEHAVIORAL HEALT
MO
01
—
370760015JON
PREMIERE BENEFITS
MO
01
—
479955
HEALTHLINK
MO
01
—
481375
VALUE OPTIONS
MO
01
—
7769381
AETNA
MO
01
—
889413
MERCY CARE PLUS
MO
01
—
P1505
PAS
MO
Enumeration date
09/21/2006
Last updated
07/08/2007
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