Provider Demographics
NPI:1689624199
Name:JONES, OLIVER WILLIAM III (MD)
Entity Type:Individual
Prefix:DR
First Name:OLIVER
Middle Name:WILLIAM
Last Name:JONES
Suffix:III
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:1601 E 19TH AVE
Mailing Address - Street 2:#5050
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80218-1216
Mailing Address - Country:US
Mailing Address - Phone:303-860-9990
Mailing Address - Fax:303-839-7761
Practice Address - Street 1:1601 E 19TH AVE
Practice Address - Street 2:#5050
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80218-1216
Practice Address - Country:US
Practice Address - Phone:303-860-9990
Practice Address - Fax:303-839-7761
Is Sole Proprietor?:No
Enumeration Date:2006-05-12
Last Update Date:2016-09-30
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CO31171207VM0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207VM0101XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyMaternal & Fetal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
COD44093Medicare UPIN