Logan D Jones, DO | |
208 W Casablanca Ave Bldg 1400, Cannon Afb, NM 88103-5009 | |
(575) 784-7801 | |
Not Available |
Full Name | Logan D Jones |
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Gender | Male |
Speciality | Preventive Medicine - Occupational Medicine |
Location | 208 W Casablanca Ave Bldg 1400, Cannon Afb, New Mexico |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1558504068 | NPI | - | NPPES |
9000193604 | Medicaid | CO |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2083X0100X | Preventive Medicine - Occupational Medicine | 58413 (Colorado) | Primary |
Entity Name | Poudre Valley Medical Group Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1366763260 PECOS PAC ID: 9638208549 Enrollment ID: O20100602000122 |
Mailing Address | Practice Location Address |
---|---|
Logan D Jones, DO 611 Bighorn Ct, Windsor, CO 80550-3178 Ph: (801) 362-7779 | Logan D Jones, DO 208 W Casablanca Ave Bldg 1400, Cannon Afb, NM 88103-5009 Ph: (575) 784-7801 |
Matthew Negrey, MD, MPH Preventive Medicine Medicare: Medicare Enrolled Practice Location: 104 W D. L. Ingram Ave, Cannon Afb, NM 88101 Phone: 575-904-3806 | |
Dr. David A Sarnow, M.D., MPH Preventive Medicine Medicare: Medicare Enrolled Practice Location: 208 W Casablanca Ave, 27 Somdg/flight Medicine, Bldg 1400, Cannon Afb, NM 88103 Phone: 575-784-7801 |