Provider Demographics
NPI:1366427098
Name:JONES, WILLIAM GUY (MD)
Entity type:Individual
Prefix:DR
First Name:WILLIAM
Middle Name:GUY
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 1:11995 SINGLETREE LN
Mailing Address - Street 2:SUITE 500
Mailing Address - City:EDEN PRAIRIE
Mailing Address - State:MN
Mailing Address - Zip Code:55344-5347
Mailing Address - Country:US
Mailing Address - Phone:952-595-1242
Mailing Address - Fax:952-942-3361
Practice Address - Street 1:525 E CRESCENT MOON DR
Practice Address - Street 2:
Practice Address - City:ORO VALLEY
Practice Address - State:AZ
Practice Address - Zip Code:85755-4770
Practice Address - Country:US
Practice Address - Phone:952-595-1242
Practice Address - Fax:952-942-3361
Is Sole Proprietor?:No
Enumeration Date:2005-12-15
Last Update Date:2010-02-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AK48682085R0202X
AZ303772085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAP00443269OtherMEDICARE RAILROAD CARRIER
AZP00784918OtherRAILROAD MEDICARE
CA00G281230Medicare PIN
AZP00784918OtherRAILROAD MEDICARE
CAP00443269OtherMEDICARE RAILROAD CARRIER
A43616Medicare UPIN