James Otis Mudd
Internist Internist - Cardiovascular Disease Advanced Heart Failure and Transplant Cardiologist and 1 more
122 W 7th Ave Ste 232
Spokane
, Washington 99204-2354
James Otis Mudd
Internist Internist - Cardiovascular Disease Advanced Heart Failure and Transplant Cardiologist and 1 more
122 W 7th Ave Ste 232
Spokane
, Washington 99204-2354
(509) 227-7070
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About
Features
Specialties
- Internist
- Advanced Heart Failure and Transplant Cardiologist
- Internist - Cardiovascular Disease
Languages spoken
- English
Location
First Address
- James Otis Mudd
- Po Box 421
- Liberty Lake, WA
- Zip : 99019-0421
- Fax : (509) 227-7070
- Phone : (509) 474-3568
Second Address
- James Otis Mudd
- 122 W 7th Ave Ste 232
- Spokane, WA
- Zip : 99204-2354
- Phone : (509) 474-2041
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FAQs
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Is James Otis Mudd a sole practitioner?
Is James Otis Mudd accepting new patients?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 207R00000X | Internist | 79755 | MT |
| N | 111NI0900X | Internist | 79755 | MT |
| N | 207RA0001X | Advanced Heart Failure and Transplant Cardiologist | 79755 | MT |
| N | 207RA0001X | Advanced Heart Failure and Transplant Cardiologist | MD152479 | OR |
| Y | 207RA0001X | Advanced Heart Failure and Transplant Cardiologist | MD60896935 | WA |
| N | 207RC0000X | Internist - Cardiovascular Disease | MD152479 | OR |
National Provider Identifier
| NPI | 1598802670 |
|---|---|
| Provider Name | James Otis Mudd |
| First Address | Liberty Lake, WA 99019-0421 |
| Second Address | Spokane, WA 99204-2354 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 30/01/2007 |
| Last Update Date | 22/06/2021 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 500629287 | (05) | OR |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.