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NPI Code Detail

MEDICARE: STEPHEN MERRILL JONES AU-D

MEDICARE:   STEPHEN MERRILL JONES  AU-D
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
1231H00000XAudiologist7673453-4101UT

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
11580016OTHERUTMEDICARE PTAN

General Provider Information

NPI Number : 1578617601
Entity Type Code : Individual
Provider Name (Legal Business Name) : STEPHEN MERRILL JONES AU-D
Provider Business Mailing Address
First Line : 5171 COTTONWOOD ST STE 810
Second Line :
City : MURRAY
State : UT
Zip : 84107-5705
Country : US
Telephone Number : 801-507-9823
Fax Number :
Provider Business Practice Location Address
First Line : 5171 COTTONWOOD ST STE 810
Second Line :
City : MURRAY
State : UT
Zip : 84107-5705
Country : US
Telephone Number : 801-507-9823
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/23/2007
Last Update Date : 06/17/2010

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Directions to “ STEPHEN MERRILL JONES AU-D” Practice Location

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