Andrew Lee Jones, MD | |
5171 Cub Lake Rd Ste B230, Show Low, AZ 85901-7882 | |
(801) 419-3011 | |
(928) 537-6737 |
Full Name | Andrew Lee Jones |
---|---|
Gender | Male |
Speciality | Pediatrics |
Location | 5171 Cub Lake Rd Ste B230, Show Low, Arizona |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1386057859 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 4301104926 (Michigan) | Secondary |
208000000X | Pediatrics | 54187 (Arizona) | Primary |
Entity Name | St Lukes Clinic Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1790718229 PECOS PAC ID: 1052217478 Enrollment ID: O20031208000899 |
Mailing Address | Practice Location Address |
---|---|
Andrew Lee Jones, MD 5171 Cub Lake Rd Ste B230, Show Low, AZ 85901-7882 Ph: (801) 419-3011 | Andrew Lee Jones, MD 5171 Cub Lake Rd Ste B230, Show Low, AZ 85901-7882 Ph: (801) 419-3011 |
Keith Zarahi Amaral, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 4951 S White Mountain Rd Bldg A, Show Low, AZ 85901 Phone: 928-537-6700 Fax: 928-537-2147 | |
Thomas D Barela, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 3401 S White Mountain Road, Show Low, AZ 85901 Phone: 928-537-5437 Fax: 928-537-5857 | |
Wade Evan Kartchner, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 600 N 9th Pl, Show Low, AZ 85901 Phone: 928-532-6050 Fax: 928-532-6054 |