Individual
JONATHAN M JONES
Active
Individual
JONATHAN M JONES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
4615
AZ
208000000X
Pediatrics Physician
Primary
A-1692-12
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
53286758
—
NM
01
—
NMA1029998
MEDICARE PTAN
NM
Enumeration date
05/02/2007
Last updated
11/16/2012
Update your record
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