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NPI Code Detail

MEDICARE: CHRISTINE MARIE JONES P.A.-C

MEDICARE:   CHRISTINE MARIE JONES  P.A.-C
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
1363A00000XPhysician Assistant2003023594MO
2363AS0400XSurgical Physician Assistant2003023594MO

General Provider Information

NPI Number : 1295707545
Entity Type Code : Individual
Provider Name (Legal Business Name) : CHRISTINE MARIE JONES P.A.-C
Provider Business Mailing Address
First Line : 403 COUNTRY OAK DR
Second Line :
City : CHESTERFIELD
State : MO
Zip : 63017-2821
Country : US
Telephone Number : 731-293-5240
Fax Number :
Provider Business Practice Location Address
First Line : 2355 DOUGHERTY FERRY RD STE 310
Second Line :
City : SAINT LOUIS
State : MO
Zip : 63122-3325
Country : US
Telephone Number : 314-909-0747
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/02/2006
Last Update Date : 10/11/2018

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Directions to “ CHRISTINE MARIE JONES P.A.-C” Practice Location

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