Individual
JOHN R JANES JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
250 YELLOW ROSE DR, ALTA, WY 83414
(804) 363-9081
Mailing address
250 YELLOW ROSE DR, ALTA, WY 83414
(804) 363-9081
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
0101032736
VA
207L00000X
Anesthesiology Physician
Primary
11126A
WY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5764700
—
VA
Enumeration date
10/06/2005
Last updated
01/28/2021
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