Provider Demographics
NPI:1124448279
Name:JONES, DANIEL LEE
Entity type:Individual
Prefix:
First Name:DANIEL
Middle Name:LEE
Last Name:JONES
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1335 NORTHFIELD RD
Mailing Address - Street 2:STE 200
Mailing Address - City:CEDAR CITY
Mailing Address - State:UT
Mailing Address - Zip Code:84721-9489
Mailing Address - Country:US
Mailing Address - Phone:435-586-1003
Mailing Address - Fax:435-865-9874
Practice Address - Street 1:1335 NORTHFIELD RD
Practice Address - Street 2:STE 200
Practice Address - City:CEDAR CITY
Practice Address - State:UT
Practice Address - Zip Code:84721-9489
Practice Address - Country:US
Practice Address - Phone:435-586-1003
Practice Address - Fax:435-865-9874
Is Sole Proprietor?:Yes
Enumeration Date:2014-04-16
Last Update Date:2020-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NMMD2019-0668207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery