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NPI Code Detail

MEDICARE: DR. TERRY KENT JONES D.P.

MEDICARE: DR. TERRY KENT JONES D.P.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1183500000XPharmacist7663OK

General Provider Information

NPI Number : 1023066974
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. TERRY KENT JONES D.P.
Provider Business Mailing Address
First Line : 1114 S MAIN ST
Second Line :
City : GROVE
State : OK
Zip : 74344-2800
Country : US
Telephone Number : 918-786-6171
Fax Number : 918-786-9011
Provider Business Practice Location Address
First Line : 1114 S MAIN ST
Second Line :
City : GROVE
State : OK
Zip : 74344-2800
Country : US
Telephone Number : 918-786-6171
Fax Number : 918-786-9011
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/04/2006
Last Update Date : 07/08/2007

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