# DR. JAMES ROBERT NICHOLS

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1497746630
- **Gender:** Man
- **Credential:** MD

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207P00000X | Emergency Medicine Physician | 29489 | AZ | — |
| 207Q00000X | Family Medicine Physician | 29489 | AZ | Yes |

## Other

- **Enumeration date:** 11/04/2005
- **Last updated:** 03/20/2008

## 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 |