Healthcare Provider Details
I. General information
NPI: 1114139714
Provider Name (Legal Business Name): JONES FAMILY MEDICINE AND PAIN CENTERS PLLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 05/04/2007
Last Update Date: 05/05/2023
Certification Date: 05/05/2023
Deactivation Date:
Reactivation Date:
III. Provider practice location address
3200 N DOBSON RD STE B-1
CHANDLER AZ
85224-9608
US
IV. Provider business mailing address
840 E MCKELLIPS RD STE 105
MESA AZ
85203-9654
US
V. Phone/Fax
- Phone: 602-491-0703
- Fax:
- Phone: 602-491-0703
- Fax: 833-429-2070
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207Q00000X |
| Taxonomy | Family Medicine Physician |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 208VP0000X |
| Taxonomy | Pain Medicine Physician |
| License Number | 36766 |
| License Number State | AZ |
VIII. Authorized Official
Name: DR.
SCOTT
C
JONES
Title or Position: OWNER
Credential: MD
Phone: 480-345-2488