Individual
JAMES DAVID INGRAM
Active
Individual
JAMES DAVID INGRAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
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
Update your record
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