Provider Demographics
NPI:1801391321
Name:JONES, CAMERON CC ALEXANDER
Entity Type:Individual
Prefix:
First Name:CAMERON
Middle Name:CC ALEXANDER
Last Name:JONES
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1100 LIBERTY AVE APT 507
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15222-4243
Mailing Address - Country:US
Mailing Address - Phone:412-720-8014
Mailing Address - Fax:
Practice Address - Street 1:3471 FIFTH AVENUE, KAUFMANN BUILDING
Practice Address - Street 2:SUITE 700
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15213
Practice Address - Country:US
Practice Address - Phone:412-692-4095
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-03-27
Last Update Date:2018-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program