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NPI Code Detail

MEDICARE: STANLEY PRESTON JONES MD

MEDICARE: STANLEY PRESTON 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
1208600000XSurgery Physician046807KS
2207X00000XOrthopaedic Surgery Physician2012042182MO

General Provider Information

NPI Number : 1487859609
Entity Type Code : Individual
Provider Name (Legal Business Name) : STANLEY PRESTON JONES MD
Provider Business Mailing Address
First Line : 1609 PORTER WAGONER BLVD
Second Line :
City : WEST PLAINS
State : MO
Zip : 65775-1805
Country : US
Telephone Number : 417-256-7145
Fax Number :
Provider Business Practice Location Address
First Line : 3100 OAK GROVE RD
Second Line :
City : POPLAR BLUFF
State : MO
Zip : 63901-1573
Country : US
Telephone Number : 573-776-2600
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/18/2007
Last Update Date : 10/13/2021

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