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NPI Code Detail

MEDICARE: RICHARD THOMAS JONES MD

MEDICARE:   RICHARD THOMAS JONES  MD
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
1207Q00000XFamily Medicine Physician7553AWY
2207Q00000XFamily Medicine PhysicianM-10078ID

Other Identifiers

General Provider Information

NPI Number : 1346341021
Entity Type Code : Individual
Provider Name (Legal Business Name) : RICHARD THOMAS JONES MD
Provider Business Mailing Address
First Line : 32 W 1ST S
Second Line :
City : REXBURG
State : ID
Zip : 83440-1810
Country : US
Telephone Number : 208-356-7585
Fax Number : 208-356-7566
Provider Business Practice Location Address
First Line : 32 W 1ST S
Second Line :
City : REXBURG
State : ID
Zip : 83440-1810
Country : US
Telephone Number : 208-356-7585
Fax Number : 208-356-7566
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/26/2006
Last Update Date : 02/17/2009

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Directions to “ RICHARD THOMAS JONES MD” Practice Location

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