Provider Demographics
NPI:1861447112
Name:JONES, TERRY D (MD)
Entity Type:Individual
Prefix:MR
First Name:TERRY
Middle Name:D
Last Name:JONES
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:P.O. BOX 40
Mailing Address - Street 2:1202 THIRD ST., WEST
Mailing Address - City:ROUNDUP
Mailing Address - State:MT
Mailing Address - Zip Code:59072-0040
Mailing Address - Country:US
Mailing Address - Phone:406-323-2301
Mailing Address - Fax:406-323-3681
Practice Address - Street 1:1207 SECOND ST., W
Practice Address - Street 2:
Practice Address - City:ROUDUP
Practice Address - State:MT
Practice Address - Zip Code:59072-1835
Practice Address - Country:US
Practice Address - Phone:406-323-3337
Practice Address - Fax:406-323-3002
Is Sole Proprietor?:No
Enumeration Date:2006-05-24
Last Update Date:2011-03-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MT7382207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
F57503Medicare UPIN