Individual
JOSHUA JONES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1851 OLD US 66, EDGEWOOD, NM 87015-6784
(505) 286-2396
Mailing address
12127B HWY 14 N STE 5, CEDAR CREST, NM 87008-9557
(817) 360-0637
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA2017-0103
NM
363AM0700X
Medical Physician Assistant
PA09229
TX
Other
Enumeration date
08/06/2014
Last updated
11/15/2019
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