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Individual

MICHAEL L JONES

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1906 BELLEVIEW AVE SE, ROANOKE, VA 24014-1838
(540) 981-7000
(540) 981-9550
Mailing address
PO BOX 2080, KILMARNOCK, VA 22482-2080
(804) 435-3508

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
0101042765
VA
208M00000X
Hospitalist Physician
0101042765
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
010052653
VA
05
010053382
VA
05
3810000831
WV
Enumeration date
05/17/2006
Last updated
12/04/2018
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