Organization
DPMJONESNRAZ LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NOLAND JONES DPM (OWNER)
(484) 653-7886
Entity
Organization
Contact information
Practice address
4318 E DARREL RD, PHOENIX, AZ 85042-5227
(484) 653-7886
Mailing address
4318 E DARREL RD, PHOENIX, AZ 85042-5227
(484) 653-7886
Taxonomy
Speciality
Code
Description
License number
State
213EP1101X
Primary Podiatric Medicine Podiatrist
Primary
0406
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
160531
—
AZ
Enumeration date
06/15/2006
Last updated
08/22/2020
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