Individual
JAMES R STORY
Active
Individual
JAMES R STORY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
10272
SC
207RI0011X
Interventional Cardiology Physician
10272
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
102720
—
SC
01
—
31368
MEDCOST PIN
—
01
—
4276018
AETNA PIN
—
05
—
890674C
—
NC
Enumeration date
06/01/2006
Last updated
08/27/2008
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