Doctor Name: | MARCELLA P JONES |
NPI Number: | 1043431208 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | DO MD |
License Number: | OS7481 |
Business Practice Address: | 1630 S Kerr Blvd Sallisaw, OK - 749557240 |
Business Phone Number: | 9187902653 |
Business Fax Number: | |
Mailing Address: | Po Box 179, STIGLER |
State: | OK |
Postal Code: | 744620179 |
Phone Number: | 9189673368 |
Fax Number: | 9189674582 |
NPI Enumeration Date: | 05/02/2007 |
NPI Last Update Date: | 11/04/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | OS7481 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |