Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207XS0106X | Orthopaedic Hand Surgeon | 01065888A | IN |
Y | 207XS0106X | Orthopaedic Hand Surgeon | 7868 | AK |
N | 207XS0106X | Orthopaedic Hand Surgeon | P1773 | TX |
NPI | 1023200524 |
---|---|
Provider Name | Dr. Evan Matthew Jones |
First Address | Us Air Force, CO 80840-2502 |
Second Address | Us Air Force, CO 80840-2502 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 17/08/2007 |
Last Update Date | 12/08/2020 |