Provider Demographics
NPI:1568591238
Name:JONES, DANIEL RAY (MD)
Entity Type:Individual
Prefix:
First Name:DANIEL
Middle Name:RAY
Last Name:JONES
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:105 PASSION PLAY RD
Mailing Address - Street 2:STE C
Mailing Address - City:EUREKA SPRINGS
Mailing Address - State:AR
Mailing Address - Zip Code:72632-9342
Mailing Address - Country:US
Mailing Address - Phone:479-363-0100
Mailing Address - Fax:479-363-0102
Practice Address - Street 1:4052 E VAN BUREN
Practice Address - Street 2:SUITE A
Practice Address - City:EUREKA SPRINGS
Practice Address - State:AR
Practice Address - Zip Code:72632-9499
Practice Address - Country:US
Practice Address - Phone:479-363-0100
Practice Address - Fax:479-363-0102
Is Sole Proprietor?:No
Enumeration Date:2007-03-05
Last Update Date:2022-04-23
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
ARE3169207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
AR111375001Medicaid
5M289C678Medicare ID - Type Unspecified