Individual
DR. STEVEN B JONES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1153 N WATERSIDE DR, FLAGSTAFF, AZ 86004-7964
(765) 430-6789
Mailing address
1153 N WATERSIDE DR, FLAGSTAFF, AZ 86004-7964
(765) 430-6789
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
01050561A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200213110
—
IN
05
—
200925070H
—
IN
05
—
2966590
—
OH
01
—
P00808442
RXR MCR
IN
Enumeration date
03/16/2006
Last updated
08/03/2020
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