Doctor Name: | G JAMES |
NPI Number: | 1811031529 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | |
License Number: | 9955 |
Business Practice Address: | 2045 Franklin St Denver, CO - 802055437 |
Business Phone Number: | 3037435855 |
Business Fax Number: | |
Mailing Address: | 11070 Yarrow St, BROOMFIELD |
State: | CO |
Postal Code: | 800212624 |
Phone Number: | 3034651541 |
Fax Number: | |
NPI Enumeration Date: | 02/16/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | 9955 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CO |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |