MEDICARE: EVERETTE GARNETT 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
1	207R00000X	Internal Medicine Physician	18166	CO
2	207RG0100X	Gastroenterology Physician	18166	CO

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1376518522
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	EVERETTE GARNETT JONES MD

Provider Business Mailing Address
First Line	:	PO BOX 17951
Second Line	:
City	:	GOLDEN
State	:	CO
Zip	:	80402-6032
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2005 FRANKLIN ST
Second Line	:	SUITE 490
City	:	DENVER
State	:	CO
Zip	:	80205-5412
Country	:	US
Telephone Number	:	303-894-9800
Fax Number	:	303-894-9805

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/21/2006
Last Update Date	:	12/31/2008

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