Basic Information
Provider Information
NPI: 1477525947
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: JONES
FirstName: SEON
MiddleName:  
NamePrefix: DR.
NameSuffix:  
Credential: M.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: NAVAL MEDICAL CENTER GENERAL SURGERY DEPT
Address2: 34730 BOB WILSON DR. STE 400
City: SAN DIEGO
State: CA
PostalCode: 921343400
CountryCode: US
TelephoneNumber: 6195327575
FaxNumber:  
Practice Location
Address1: NAVAL MEDICAL CENTER GENERAL SURGERY DEPT
Address2: 34730 BOB WILSON DR. STE 400
City: SAN DIEGO
State: CA
PostalCode: 921343400
CountryCode: US
TelephoneNumber: 6195327575
FaxNumber:  
Other Information
ProviderEnumerationDate: 02/07/2006
LastUpdateDate: 02/09/2022
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
208600000X1054985AINN Allopathic & Osteopathic PhysiciansSurgery 
208600000X47258TNY Allopathic & Osteopathic PhysiciansSurgery 

No ID Information.


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