Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2081P2900X | Pain Medicine | 992 | AK |
NPI | 1144291493 |
---|---|
Provider Name | Dr. Michael James |
First Address | Anchorage, AK 99508-4639 |
Second Address | Anchorage, AK 99508-4639 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 26/01/2006 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
C97126 | (02) | AK |
MD0992 | (05) | AK |