Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | 24510 | NE |
N | 111NI0900X | Internist | 24510 | NE |
N | 207RC0000X | Internist - Cardiovascular Disease | 74621-20 | WI |
N | 207RC0000X | Internist - Cardiovascular Disease | A142715 | CA |
Y | 207RC0001X | Clinical Cardiac Electrophysiologist | A142715 | CA |
NPI | 1255541876 |
---|---|
Provider Name | Ronald L Jones |
First Address | Travis Afb, CA 94535-1809 |
Second Address | Travis Afb, CA 94535-1809 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 23/05/2007 |
Last Update Date | 02/02/2021 |