Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207X00000X | Orthopaedic Surgeon | MD11704 | OR |
N | 207XX0004X | Foot and Ankle Orthopaedic Surgeon | MD11704 | OR |
NPI | 1164422390 |
---|---|
Provider Name | Donald C Jones |
First Address | Eugene, OR 97401-2433 |
Second Address | Eugene, OR 97401-2433 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 29/07/2005 |
Last Update Date | 13/03/2008 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
234526 | (05) | OR |
D73125 | (02) | OR |