Provider Demographics
NPI:1972579654
Name:JONES, ANGELA M (MD)
Entity Type:Individual
Prefix:DR
First Name:ANGELA
Middle Name:M
Last Name:JONES
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:PO BOX 505434
Mailing Address - Street 2:
Mailing Address - City:SAINT LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63150-5434
Mailing Address - Country:US
Mailing Address - Phone:636-939-3362
Mailing Address - Fax:636-939-3687
Practice Address - Street 1:5301 VETERANS MEMORIAL PKWY
Practice Address - Street 2:STE 104
Practice Address - City:SAINT PETERS
Practice Address - State:MO
Practice Address - Zip Code:63376-2298
Practice Address - Country:US
Practice Address - Phone:636-939-3362
Practice Address - Fax:636-939-3687
Is Sole Proprietor?:No
Enumeration Date:2006-02-23
Last Update Date:2024-05-09
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MO103558208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO208867200Medicaid