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NPI Code Detail

MEDICARE: RANDAL GREGORY JONES DC

MEDICARE:   RANDAL GREGORY JONES  DC
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
1111N00000XChiropractor14412CA

General Provider Information

NPI Number : 1053395178
Entity Type Code : Individual
Provider Name (Legal Business Name) : RANDAL GREGORY JONES DC
Provider Business Mailing Address
First Line : 11282 MERRITT ST
Second Line :
City : CASTROVILLE
State : CA
Zip : 95012-3421
Country : US
Telephone Number : 831-633-4067
Fax Number : 831-633-4070
Provider Business Practice Location Address
First Line : 11282 MERRITT ST
Second Line :
City : CASTROVILLE
State : CA
Zip : 95012-3421
Country : US
Telephone Number : 831-633-4067
Fax Number : 831-633-4070
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/01/2005
Last Update Date : 09/25/2013

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Directions to “ RANDAL GREGORY JONES DC” Practice Location

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