Healthcare Provider Details

I. General information

NPI: 1346324761
Provider Name (Legal Business Name): DOUGLAS HARRY JONES M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/24/2006
Last Update Date: 04/16/2026
Certification Date: 04/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

279 E 5900 S STE 201
MURRAY UT
84107-5426
US

IV. Provider business mailing address

PO BOX 93
RIVERTON UT
84065-0089
US

V. Phone/Fax

Practice location:
  • Phone: 801-252-6039
  • Fax: 949-864-3316
Mailing address:
  • Phone: 801-448-7392
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number23698
License Number StateNE
# 2
Primary TaxonomyY
Taxonomy Code207KA0200X
TaxonomyAllergy Physician
License Number324239-1205
License Number StateUT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: