Basic Information
| Provider Information | |||||||||
| NPI: | 1780979112 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | JONES | ||||||||
| FirstName: | JAMES | ||||||||
| MiddleName: | FLY | ||||||||
| NamePrefix: | DR. | ||||||||
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| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 13123 E 16TH AVE | ||||||||
| Address2: | B518 | ||||||||
| City: | AURORA | ||||||||
| State: | CO | ||||||||
| PostalCode: | 800457106 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7207778902 | ||||||||
| FaxNumber: | 7207777247 | ||||||||
| Practice Location | |||||||||
| Address1: | 13123 E. 16TH AVENUE | ||||||||
| Address2: | B518 | ||||||||
| City: | AURORA | ||||||||
| State: | CO | ||||||||
| PostalCode: | 800457106 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7207778902 | ||||||||
| FaxNumber: | 7207777247 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 06/14/2011 | ||||||||
| LastUpdateDate: | 12/03/2015 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207K00000X | 25434 | CO | Y | Allopathic & Osteopathic Physicians | Allergy & Immunology | 207K00000X | 6045 | AZ | N | Allopathic & Osteopathic Physicians | Allergy & Immunology | 207R00000X | 6045 | AZ | N | Allopathic & Osteopathic Physicians | Internal Medicine | 207R00000X | 25434 | CO | N | Allopathic & Osteopathic Physicians | Internal Medicine | 208000000X | 6045 | AZ | N | Allopathic & Osteopathic Physicians | Pediatrics | 208000000X | 25434 | CO | N | Allopathic & Osteopathic Physicians | Pediatrics |
No ID Information.