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Individual
DR. JAMES ROBERT NICHOLS
Active
Individual
DR. JAMES ROBERT NICHOLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
29489
AZ
207Q00000X
Family Medicine Physician
Primary
29489
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3981220
EVERCARE GRP
—
05
—
586018
—
AZ
01
—
AW1436
HEALTHNET GRP
AZ
01
—
AZ0728670
BLUE CROSS BLUE SHIELD GR
AZ
Enumeration date
11/04/2005
Last updated
03/20/2008
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