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Individual

DR. JAMES S. ICE

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
D.O

Contact information

Practice address
2050 A SECOND ST SE, KIRTLAND AFB, NM 87117-5522
(505) 846-3547
Mailing address
2050 A SECOND ST SE, KIRTLAND AFB, NM 87117-5522
(505) 846-3547

Taxonomy

Speciality
Code
Description
License number
State
2083P0901X
Public Health & General Preventive Medicine Physician
Primary
O-87
ID

Other

Enumeration date
02/10/2006
Last updated
07/08/2007
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