Provider Demographics
NPI:1255654240
Name:DECKOFF-JONES, JAMIE (MD)
Entity Type:Individual
Prefix:
First Name:JAMIE
Middle Name:
Last Name:DECKOFF-JONES
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:333 N WILMOT RD
Mailing Address - Street 2:SUITE 340
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85711-2631
Mailing Address - Country:US
Mailing Address - Phone:520-222-8366
Mailing Address - Fax:520-222-8367
Practice Address - Street 1:333 N WILMOT RD
Practice Address - Street 2:SUITE 340
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85711-2631
Practice Address - Country:US
Practice Address - Phone:520-222-8366
Practice Address - Fax:520-222-8367
Is Sole Proprietor?:Yes
Enumeration Date:2010-03-05
Last Update Date:2013-05-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ46478207Q00000X
HI3944207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine