Doctor Name: | DR. CALVIN T JONES |
NPI Number: | 1659412823 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D. |
License Number: | MD00024073 |
Business Practice Address: | 13033 Bellevue Redmond Rd #110 Bellevue, WA - 980052633 |
Business Phone Number: | 4254686500 |
Business Fax Number: | 4254686501 |
Mailing Address: | 13033 Bellevue Redmond Rd, #110 BELLEVUE |
State: | WA |
Postal Code: | 980052633 |
Phone Number: | 4254686500 |
Fax Number: | 4254686501 |
NPI Enumeration Date: | 02/09/2007 |
NPI Last Update Date: | 02/05/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | MD00024073 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | WA |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |