Individual
JAMES DAVID INGRAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1056 E 19TH AVE, B125, DENVER, CO 80218-1007
(303) 761-9190
(303) 761-6322
Mailing address
PO BOX 110429, AURORA, CO 80042-0429
(303) 493-7000
(303) 493-7202
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
30752
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01307529
—
CO
05
—
100035760A
—
OK
05
—
100156090C
—
KS
05
—
104686211
—
MI
05
—
109589700
—
WY
05
—
1316987936
—
MT
05
—
1546838
—
IA
05
—
169996901
—
TX
05
—
343658
—
AZ
05
—
53820860
—
NM
05
—
805063700
—
ID
01
—
P00123281
RR MIC MEDICARE
CO
01
—
P00124424
RR DIA MEDICARE
CO
01
—
P00124425
RR RIA MEDICARE
CO
05
—
XPY204028
—
CA
Enumeration date
06/08/2006
Last updated
10/10/2012
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