Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208800000X | Urologist | 45348 | CO |
N | 208800000X | Urologist | 48374 | MN |
NPI | 1003859075 |
---|---|
Provider Name | Dr. Marklyn Jon Jones |
First Address | Denver, CO 80211-5222 |
Second Address | Denver, CO 80211-5222 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 14/06/2006 |
Last Update Date | 03/03/2008 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
07323069 | (05) | CO |
I53449 | (02) |