Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | 14076 | NH |
N | 111NI0900X | Internist | 14076 | NH |
N | 207RC0000X | Internist - Cardiovascular Disease | 14076 | NH |
Y | 207RC0001X | Clinical Cardiac Electrophysiologist | 14076 | NH |
NPI | 1043326655 |
---|---|
Provider Name | Dr. Clayton Theron Jones |
First Address | Concord, NH 03301-2548 |
Second Address | Concord, NH 03301-2548 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 23/08/2006 |
Last Update Date | 17/08/2016 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1015280 | (05) | VT |