Individual
MARK LEONARD JONES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
750 W 800 N, OREM, UT 84057-3660
(800) 748-4868
(801) 733-5618
Mailing address
750 W 800 N, OREM, UT 84057-3660
(801) 714-6140
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
183124-1205
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
107008396102
IHC
UT
01
—
341510
DESERET MUTUAL
UT
01
—
47504
PEHP
UT
01
—
52946
HEALTHY U
UT
01
—
870525882JO1
EDUCATORS MUTUAL
UT
01
—
PRA01546
MOLINA
UT
01
—
QM0000076595
ALTIUS
UT
Enumeration date
09/13/2006
Last updated
07/08/2007
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