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Individual

ROBERT DALLAS JONES

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PHD

Contact information

Practice address
200 HAWKINS DR, IOWA CITY, IA 52242-1009
(319) 356-1616
(319) 356-4505
Mailing address
200 HAWKINS DR, IOWA CITY, IA 52242-1009
(319) 356-1616
(319) 356-4505

Taxonomy

Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
00180
IA
103T00000X
Psychologist
00579
IA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0744342
IA
01
28229
WELLMARK BCBS
IA
Enumeration date
11/13/2006
Last updated
01/02/2008
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