Individual
DR. JERRY JONES III
Active
Individual
DR. JERRY JONES III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
30065
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
31514300
—
WI
Enumeration date
04/20/2006
Last updated
10/28/2014
Update your record
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