Individual
BRUCE JONES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2115 S FREMONT AVE STE 5000, SPRINGFIELD, MO 65804
(417) 820-3960
Mailing address
2115 S FREMONT AVE STE 5000, SPRINGFIELD, MO 65804-2230
(417) 820-3960
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
2009012961
MO
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
54978
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
Q028093
—
TN
Enumeration date
05/02/2006
Last updated
07/25/2019
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