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NPI Code Detail

MEDICARE: MRS. ELIZABETH ANN JONES M.D.

MEDICARE: MRS. ELIZABETH ANN 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
1207P00000XEmergency Medicine Physician2010003285MO
2207Q00000XFamily Medicine Physician036081874IL
3207Q00000XFamily Medicine Physician2010003285MO

General Provider Information

NPI Number : 1700822533
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. ELIZABETH ANN JONES M.D.
Provider Business Mailing Address
First Line : 3304 WALNUT RIDGE DR
Second Line :
City : HIGH RIDGE
State : MO
Zip : 63049-2972
Country : US
Telephone Number : 636-376-5078
Fax Number :
Provider Business Practice Location Address
First Line : 434 N WEST ST
Second Line :
City : PERRYVILLE
State : MO
Zip : 63775-1359
Country : US
Telephone Number : 573-768-3242
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/21/2006
Last Update Date : 02/07/2019

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