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Individual

J.S. ROGER JONES

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
2720 ST MARYS WAY, SALT LAKE CITY, UT 84108-2040
(801) 581-9576
Mailing address
2720 ST MARYS WAY, SALT LAKE CITY, UT 84108-2040

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
149650-1205
UT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
002085372
FIRST HEALTH
UT
05
002967100
ID
05
104778700
WY
01
107005035101
IHC
UT
01
2000040
UNITED HEALTHCARE
UT
01
24132
PEHP
UT
05
401765
MT
01
416942
DESERET MUTUAL
UT
01
4884
HEALTHY U
UT
05
785959
AZ
01
870280408JO1
EDUCATORS MUTUAL
UT
01
PRA01601
MOLINA
UT
01
QM0000032763
ALTIUS
UT
Enumeration date
08/24/2006
Last updated
12/11/2014
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