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NPI Code Detail

MEDICARE: MICHAEL W JONES MD

MEDICARE:   MICHAEL W 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 PhysicianMD031894EPA

General Provider Information

NPI Number : 1477525269
Entity Type Code : Individual
Provider Name (Legal Business Name) : MICHAEL W JONES MD
Provider Business Mailing Address
First Line : 471 HEPBURN ST
Second Line :
City : WILLIAMSPORT
State : PA
Zip : 17701-6122
Country : US
Telephone Number : 570-567-5400
Fax Number : 570-567-5421
Provider Business Practice Location Address
First Line : 471 HEPBURN ST
Second Line :
City : WILLIAMSPORT
State : PA
Zip : 17701-6122
Country : US
Telephone Number : 570-567-5400
Fax Number : 570-567-5421
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/06/2006
Last Update Date : 09/06/2012

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