| Walter Jones, Iii, M.d., Inc. | |
|
255 Terracina Blvd Ste# 101a & B Redlands CA 92373-4870 | |
| (909) 748-6569 | |
| Not Available |
| Full Name | Walter Jones, Iii, M.d., Inc. |
|---|---|
| Speciality | Internal Medicine |
| Location | 255 Terracina Blvd, Redlands, California |
| Authorized Official Name and Position | Walter Jones (OWNER) |
| Authorized Official Contact | 9097486569 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Walter Jones, Iii, M.d., Inc. Po Box 163 Redlands CA 92373-0061 Ph: (909) 748-6569 | Walter Jones, Iii, M.d., Inc. 255 Terracina Blvd Ste# 101a & B Redlands CA 92373-4870 Ph: (909) 748-6569 |
| NPI Number | 1669660338 |
|---|---|
| Provider Enumeration Date | 10/09/2007 |
| Last Update Date | 09/23/2008 |
| Medicare PECOS PAC ID | 3678650025 |
|---|---|
| Medicare Enrollment ID | O20080409000337 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669660338 | NPI | - | NPPES |
| 00A549620 | Medicaid | CA | |
| P00002131 | Other | CA | RAILROAD MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | A54962 (California) | Primary |
| Provider Name | Walter Jones |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1164593372 PECOS PAC ID: 5193620870 Enrollment ID: I20031204001231 |
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