Charles Jones

NPI #1801219803 in Edmond, Oklahoma

Provider Information

NPI Number: 1801219803
Entity Type: Individual
Name: Charles Jones
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Specialist
Enumeration Date: Jan 27, 2014
Last Updated: Jan 27, 2014

Practice Location

Address: 400 S BROADWAY
Address 2: SUITE 3
City: Edmond
State: Oklahoma
ZIP Code: 73034-3848
Phone: (405) 513-5360

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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