Individual
DR. JAMES F GRUDEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
33278
AZ
2085R0202X
Diagnostic Radiology Physician
Primary
344982
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
86080015085259A979
TRIWEST
AZ
05
—
892738
—
AZ
01
—
P00152984
RAILROAD MEDICARE
AZ
Enumeration date
12/06/2005
Last updated
05/21/2025
Update your record
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