Provider Demographics
NPI:1790908515
Name:JONES, JOHN CHRISTIAN (MD)
Entity Type:Individual
Prefix:DR
First Name:JOHN
Middle Name:CHRISTIAN
Last Name:JONES
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:PO BOX 906
Mailing Address - Street 2:
Mailing Address - City:HIGLEY
Mailing Address - State:AZ
Mailing Address - Zip Code:85236-0906
Mailing Address - Country:US
Mailing Address - Phone:480-923-6655
Mailing Address - Fax:480-923-6777
Practice Address - Street 1:4862 E BASELINE RD STE 108
Practice Address - Street 2:
Practice Address - City:MESA
Practice Address - State:AZ
Practice Address - Zip Code:85206-4668
Practice Address - Country:US
Practice Address - Phone:480-923-6655
Practice Address - Fax:480-923-6777
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-10
Last Update Date:2020-12-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
AZ43074208100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & Rehabilitation