Angela Jones, Md, Pc | |
1813 W Harvard Ave Ste 423 Roseburg OR 97471-8712 | |
(541) 440-6322 | |
(541) 440-6399 |
Full Name | Angela Jones, Md, Pc |
---|---|
Speciality | Internal Medicine |
Location | 1813 W Harvard Ave Ste 423, Roseburg, Oregon |
Authorized Official Name and Position | Angela L Jones (OWNER) |
Authorized Official Contact | 5414406322 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Angela Jones, Md, Pc 1813 W Harvard Ave Ste 423 Roseburg OR 97471-8712 Ph: (541) 440-6322 | Angela Jones, Md, Pc 1813 W Harvard Ave Ste 423 Roseburg OR 97471-8712 Ph: (541) 440-6322 |
NPI Number | 1114552999 |
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Provider Enumeration Date | 03/11/2020 |
Last Update Date | 03/11/2020 |
Medicare PECOS PAC ID | 2062832074 |
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Medicare Enrollment ID | O20201013002091 |
Identifier | Type | State | Issuer |
---|---|---|---|
1114552999 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | (* (Not Available)) | Primary |
Provider Name | Angela L Jones |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1174759997 PECOS PAC ID: 9931350519 Enrollment ID: I20121107000404 |
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