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NPI Code Detail

MEDICARE: RICHARD A JONES D.P.M.

MEDICARE:   RICHARD A JONES  D.P.M.
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
1213E00000XPodiatrist0103000413VA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1211783OTHERMDIPA
2005469OTHERANTHEM
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
442072OTHERSO. HEALTH
5859253OTHERAETNA HMO

General Provider Information

NPI Number : 1184726572
Entity Type Code : Individual
Provider Name (Legal Business Name) : RICHARD A JONES D.P.M.
Provider Business Mailing Address
First Line : 400 SOUTHLAKE BLVD STE G
Second Line :
City : RICHMOND
State : VA
Zip : 23236-3061
Country : US
Telephone Number : 804-794-3215
Fax Number : 804-378-4454
Provider Business Practice Location Address
First Line : 400 SOUTHLAKE BLVD STE G
Second Line :
City : RICHMOND
State : VA
Zip : 23236-3061
Country : US
Telephone Number : 804-794-3215
Fax Number : 804-378-4454
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/05/2006
Last Update Date : 07/08/2007

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Directions to “ RICHARD A JONES D.P.M.” Practice Location

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