Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 2086X0206X | Surgical Oncologist | G79627 | CA |
Y | 2086X0206X | Surgical Oncologist | MD043336E | PA |
NPI | 1023178175 |
---|---|
Provider Name | Dr. Ralph Croker Jones |
First Address | Bethesda, MD 20889-5600 |
Second Address | Bethesda, MD 20889-5600 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 11/12/2006 |
Last Update Date | 08/05/2014 |