MEDICARE: PATRICIA E JONES M.D

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
1	173000000X	Legal Medicine	R1D67	MO

General Provider Information

NPI Number	:	1194729889
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	PATRICIA E JONES M.D

Provider Business Mailing Address
First Line	:	232 NE TUDOR RD
Second Line	:
City	:	LEES SUMMIT
State	:	MO
Zip	:	64086-5696
Country	:	US
Telephone Number	:	816-246-2131
Fax Number	:

Provider Business Practice Location Address
First Line	:	232 NE TUDOR RD
Second Line	:
City	:	LEES SUMMIT
State	:	MO
Zip	:	64086-5696
Country	:	US
Telephone Number	:	816-246-2131
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/09/2005
Last Update Date	:	05/01/2014

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