Individual
DR. NATHAN JONES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
2300 E 17TH ST SPC 157, IDAHO FALLS, ID 83404-6501
(208) 552-3355
(208) 552-6120
Mailing address
PO BOX 3187, IDAHO FALLS, ID 83403-3187
(208) 351-9190
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
ODP-100565
ID
152W00000X
Optometrist
OPT-002440
AZ
Other
Enumeration date
06/20/2020
Last updated
05/05/2022
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