Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208100000X | Physical Medicine & Rehabilitation Doctor | 244-917 | NY |
NPI | 1043400450 |
---|---|
Provider Name | Raymond C Jones |
First Address | Aurora, CO 80045-5704 |
Second Address | Aurora, CO 80045-7238 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 01/08/2007 |
Last Update Date | 02/10/2007 |