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NPI Code Detail

MEDICARE: DR. MATTHEW STEVEN JONES D.O.

MEDICARE:  DR. MATTHEW STEVEN JONES  D.O.
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
1207R00000XInternal Medicine Physician20338MN
2208000000XPediatrics Physician20338MN

General Provider Information

NPI Number : 1093907909
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. MATTHEW STEVEN JONES D.O.
Provider Business Mailing Address
First Line : 2605 18TH AVE S
Second Line :
City : MINNEAPOLIS
State : MN
Zip : 55407-1209
Country : US
Telephone Number : 612-559-4455
Fax Number :
Provider Business Practice Location Address
First Line : 2605 18TH AVE S
Second Line :
City : MINNEAPOLIS
State : MN
Zip : 55407-1209
Country : US
Telephone Number : 612-559-4455
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/14/2007
Last Update Date : 08/14/2007

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Directions to “ DR. MATTHEW STEVEN JONES D.O.” Practice Location

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