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NPI Code Detail

MEDICARE: DR. PYTHIAS DAMON JONES M.D.

MEDICARE: DR. PYTHIAS DAMON 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
12084A0401XAddiction Medicine (Psychiatry & Neurology) PhysicianOH014733OH

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1871685347
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. PYTHIAS DAMON JONES M.D.
Provider Business Mailing Address
First Line : 3645 WARRENSVILLE CENTER RD
Second Line : #216
City : SHAKER HEIGHTS
State : OH
Zip : 44122-5247
Country : US
Telephone Number : 216-752-5020
Fax Number :
Provider Business Practice Location Address
First Line : 3645 WARRENSVILLE CENTER RD
Second Line : #216
City : SHAKER HEIGHTS
State : OH
Zip : 44122-5247
Country : US
Telephone Number : 216-752-5020
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/29/2006
Last Update Date : 03/25/2009

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