Doctor Name: | MR. JOHN IRWIN JAMES |
NPI Number: | 1700246279 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | RN BSN |
License Number: | RN157855 |
Business Practice Address: | 2240 E. Winrow Avenue Fort Huachuca, AZ - 856137079 |
Business Phone Number: | 5205335263 |
Business Fax Number: | 5205332203 |
Mailing Address: | 384 Desert Trail Dr, SIERRA VISTA |
State: | AZ |
Postal Code: | 856354430 |
Phone Number: | 5202494539 |
Fax Number: | 5205332203 |
NPI Enumeration Date: | 02/26/2016 |
NPI Last Update Date: | 02/26/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 163WP2201X |
License Number: | RN157855 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AZ |
Taxonomy Type: | Nursing Service Providers |
Taxonomy Classification: | Registered Nurse |
Taxonomy Specialization: | Ambulatory Care |
Taxonomy Definition: |