Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223G0001X | General Practice | DU029978 | CA |
Y | 213EG0000X | General Practice | DU029978 | CA |
NPI | 1003036591 |
---|---|
Provider Name | Dr. Jeffrey Craig Jones |
First Address | Auburn, CA 95603-5051 |
Second Address | Auburn, CA 95603-5051 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 26/04/2007 |
Last Update Date | 18/09/2014 |