Individual
BENJAMIN DWAYNE JONES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
331 SIJEN AVE, WHITEMAN AFB, MO 65305-1269
(660) 687-2252
Mailing address
677 PSC 103, APO, AE 09603-0007
0390434301775
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1134
AK
Other
Enumeration date
07/07/2009
Last updated
12/15/2021
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