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General NPI Number Information
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NPI Number | 1780853879
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Entity Type | Organization
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Legal Business Name | J FREDERICK JONES MD PLLC
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Dates
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Enumeration Date | 02/22/2008
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Last Update Date | 09/22/2009
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Provider Practice Location Address
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Address Line | 1111 N LEE AVE SUITE 236
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City | OKLAHOMA CITY
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State | OK
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Zip | 73103-2600
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Country | US
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Telephone | 405-524-4105
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Fax | 405-235-0738
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Provider Business Mailing Address
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Address Line | PO BOX 504753
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City | SAINT LOUIS
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State | MO
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Zip | 63150-0001
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Country | US
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Telephone | 660-826-5960
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Fax | 660-826-4852
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Authorized Official
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Title or Position | OWNER
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Name | JOHN FREDERICK JONES
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Credential | M.D.
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Telephone | 405-272-9644
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number |
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License Number State |
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