Provider Demographics
NPI:1518596816
Name:JONES, STEPHEN RONALD (DC)
Entity Type:Individual
Prefix:DR
First Name:STEPHEN
Middle Name:RONALD
Last Name:JONES
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:166 E 600 N
Mailing Address - Street 2:
Mailing Address - City:SPANISH FORK
Mailing Address - State:UT
Mailing Address - Zip Code:84660-1522
Mailing Address - Country:US
Mailing Address - Phone:801-582-8558
Mailing Address - Fax:
Practice Address - Street 1:2255 N UNIVERSITY PKWY STE 20
Practice Address - Street 2:
Practice Address - City:PROVO
Practice Address - State:UT
Practice Address - Zip Code:84604-7513
Practice Address - Country:US
Practice Address - Phone:801-210-0669
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-04-07
Last Update Date:2020-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT10542507-1202111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty