Individual
DR. DONALD L JAMES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1050 W 10TH ST, ROLLA, MO 65401
(573) 364-7545
(573) 368-3672
Mailing address
PO BOX 579, ROLLA, MO 65402
(573) 458-3425
(573) 426-2282
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
34425
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10687
BLUE SHIELD MO ID #
MO
01
—
110046062
MEDICARE TRAVLERS ID #
MO
01
—
1508840901
GROUP NPI
MO
05
—
240436139
—
MO
01
—
431617399
TAX ID #
MO
Enumeration date
08/24/2007
Last updated
12/22/2011
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