Provider Demographics
NPI:1689756694
Name:JONES, CURTIS JAMES (PA C)
Entity Type:Individual
Prefix:MR
First Name:CURTIS
Middle Name:JAMES
Last Name:JONES
Suffix:
Gender:M
Credentials:PA C
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:200 W HOSPITAL DR
Mailing Address - Street 2:
Mailing Address - City:WHITERIVER
Mailing Address - State:AZ
Mailing Address - Zip Code:85941-0860
Mailing Address - Country:US
Mailing Address - Phone:928-338-4911
Mailing Address - Fax:
Practice Address - Street 1:5301 E GRANT ROAD
Practice Address - Street 2:TUCSON MEDICAL CENTER EMERGENCY DEPARTMENT
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85712-2805
Practice Address - Country:US
Practice Address - Phone:520-324-1922
Practice Address - Fax:520-324-1088
Is Sole Proprietor?:No
Enumeration Date:2006-10-19
Last Update Date:2012-03-28
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
AZ2831363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ805632-02Medicaid
P00185458OtherRAILROAD MCR
AZ805632OtherAHCCCS
AZ805632OtherAHCCCS
AZ805632-02Medicaid