Individual
LAIRD E. JONES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1423 N JEFFERSON AVE, SPRINGFIELD, MO 65802-1917
(417) 269-3275
(417) 269-8852
Mailing address
3800 S NATIONAL AVE, STE. 540, SPRINGFIELD, MO 65807-5209
(417) 269-3275
(417) 269-8852
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
R8E67
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
202251112
—
MO
Enumeration date
06/27/2005
Last updated
11/29/2012
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