Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111NX0800X | Chiropractor Orthopedic Specialist | 3191 | AZ |
NPI | 1821079211 |
---|---|
Provider Name | Dr. Richard James Jones |
First Address | Scottsdale, AZ 85259-2519 |
Second Address | Scottsdale, AZ 85259-2519 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 11/11/2005 |
Last Update Date | 14/12/2012 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
T41791 | (02) | AZ |