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NPI Code Detail

MEDICARE: BRENDA FAYE JONES M.D.

MEDICARE:   BRENDA FAYE JONES  M.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
1207W00000XOphthalmology Physician55641OH
2207W00000XOphthalmology Physician17844NV

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1P01296262OTHEROHRAILROAD MEDICARE - MHCPI

Other Identifiers

General Provider Information

NPI Number : 1588663645
Entity Type Code : Individual
Provider Name (Legal Business Name) : BRENDA FAYE JONES M.D.
Provider Business Mailing Address
First Line : 161 W 200 N STE 200
Second Line :
City : ST GEORGE
State : UT
Zip : 84770-7386
Country : US
Telephone Number : 435-986-2020
Fax Number : 435-652-1516
Provider Business Practice Location Address
First Line : 330 N SANDHILL BLVD STE A
Second Line :
City : MESQUITE
State : NV
Zip : 89027-4779
Country : US
Telephone Number : 702-346-2950
Fax Number : 702-346-3795
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/20/2005
Last Update Date : 05/08/2018

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Directions to “ BRENDA FAYE JONES M.D.” Practice Location

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