Provider Demographics
NPI:1962514653
Name:JONES, ROBERT DENNIS (MD)
Entity type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:DENNIS
Last Name:JONES
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2201 N CENTRAL AVE APT 7A
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85004-1493
Mailing Address - Country:US
Mailing Address - Phone:602-770-1860
Mailing Address - Fax:
Practice Address - Street 1:320 E MCDOWELL RD STE 105
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85004-4515
Practice Address - Country:US
Practice Address - Phone:602-523-7068
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-31
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ29835207Q00000X
UT1587058905207Q00000X
MT8346207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine