Individual
DR. JUSTIN E. JONES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1605 E BROADWAY, SUITE 110, COLUMBIA, MO 65201-8023
(573) 815-8130
(573) 815-8149
Mailing address
670 MASON RIDGE CENTER DR, STE 300, SAINT LOUIS, MO 63141-8573
(573) 815-8130
(573) 815-8149
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
101372
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
203414719
—
MO
Enumeration date
12/15/2005
Last updated
10/07/2014
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