Provider Demographics
NPI:1437272424
Name:JONES, BYRON D (MD)
Entity Type:Individual
Prefix:DR
First Name:BYRON
Middle Name:D
Last Name:JONES
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:9600 W JEWELL AVE STE 3
Mailing Address - Street 2:
Mailing Address - City:LAKEWOOD
Mailing Address - State:CO
Mailing Address - Zip Code:80232-6357
Mailing Address - Country:US
Mailing Address - Phone:303-350-7990
Mailing Address - Fax:303-217-5708
Practice Address - Street 1:9600 W JEWELL AVE STE 3
Practice Address - Street 2:
Practice Address - City:LAKEWOOD
Practice Address - State:CO
Practice Address - Zip Code:80232-6357
Practice Address - Country:US
Practice Address - Phone:303-350-7990
Practice Address - Fax:303-217-5708
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-06
Last Update Date:2020-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO30302208100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & Rehabilitation
Provider Identifiers
StateIdentifier IDID TypeIssuer
F64298Medicare UPIN