Provider Demographics
NPI:1992849202
Name:JONES, DANNY C
Entity Type:Individual
Prefix:DR
First Name:DANNY
Middle Name:C
Last Name:JONES
Suffix:
Gender:M
Credentials:
Other - Prefix:DR
Other - First Name:DANNY
Other - Middle Name:C
Other - Last Name:JONES
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:DPH
Mailing Address - Street 1:RR 2 BOX 7700
Mailing Address - Street 2:
Mailing Address - City:TALIHINA
Mailing Address - State:OK
Mailing Address - Zip Code:74571-9507
Mailing Address - Country:US
Mailing Address - Phone:918-567-2156
Mailing Address - Fax:
Practice Address - Street 1:501 NW H ST
Practice Address - Street 2:
Practice Address - City:STIGLER
Practice Address - State:OK
Practice Address - Zip Code:74462-1627
Practice Address - Country:US
Practice Address - Phone:918-967-8877
Practice Address - Fax:918-967-8211
Is Sole Proprietor?:No
Enumeration Date:2007-02-19
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK9779183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist