MEDICARE: DAVID JONES

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	225400000X	Rehabilitation Practitioner

General Provider Information

NPI Number	:	1912272089
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DAVID JONES

Provider Business Mailing Address
First Line	:	3914 DRIFTING PELICAN CT
Second Line	:
City	:	NORTH LAS VEGAS
State	:	NV
Zip	:	89032-3466
Country	:	US
Telephone Number	:	702-280-9246
Fax Number	:

Provider Business Practice Location Address
First Line	:	3914 DRIFTING PELICAN CT
Second Line	:
City	:	NORTH LAS VEGAS
State	:	NV
Zip	:	89032-3466
Country	:	US
Telephone Number	:	702-280-9246
Fax Number	:

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

Provider Enumeration Date	:	03/21/2012
Last Update Date	:	06/23/2014

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Directions to “ DAVID JONES ” Practice Location

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