| Marcella P Jones Do Pllc | |
|
701 W Broadway St Spiro OK 74959-2456 | |
| (866) 243-7203 | |
| (833) 243-7203 |
| Full Name | Marcella P Jones Do Pllc |
|---|---|
| Speciality | Family Medicine |
| Location | 701 W Broadway St, Spiro, Oklahoma |
| Authorized Official Name and Position | Marcella P Jones (AUTHORIZED OFFICIAL) |
| Authorized Official Contact | 9417798917 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Marcella P Jones Do Pllc Po Box 170 Ozark AR 72949-0170 Ph: (866) 243-7203 | Marcella P Jones Do Pllc 701 W Broadway St Spiro OK 74959-2456 Ph: (866) 243-7203 |
| NPI Number | 1720618101 |
|---|---|
| Provider Enumeration Date | 01/24/2020 |
| Last Update Date | 01/24/2020 |
| Medicare PECOS PAC ID | 4183053242 |
|---|---|
| Medicare Enrollment ID | O20200411000454 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720618101 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| 207R00000X | Internal Medicine | (* (Not Available)) | Secondary |
| Provider Name | Marcella Perez Jones |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1043431208 PECOS PAC ID: 1759369622 Enrollment ID: I20151117001045 |
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