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Individual

MR. BRIAN DAVID JONES

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MPT

Contact information

Practice address
410 N MALACATE ST, AJO, AZ 85321-2253
(520) 387-5651
Mailing address
410 N MALACATE ST, AJO, AZ 85321-2254
(623) 289-1916
(520) 387-6036

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
10157
NC
225100000X
Physical Therapist
Primary
LPT-008464
AZ
225100000X
Physical Therapist
PT-012616L
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
433109
AZ
01
5550830001
MEDICARE NSC SCW
AZ
01
5550830003
MEDICARE NSC PEORIA
AZ
01
5550830004
MEDICARE NSC PV
AZ
01
5550830006
MEDICARE NSC ANTHEM
AZ
01
5550830007
MEDICARE NSC DV
AZ
01
5550830008
MEDICARE NSC SWV
AZ
01
5550830009
MEDICARE NSC AZ NORTH
AZ
01
5550830010
MEDICARE NSC GILBERT
AZ
Enumeration date
12/07/2005
Last updated
09/18/2024
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