Individual
JAMES THOMAS PRIDDY
Active
Individual
JAMES THOMAS PRIDDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
4143A
WY
207W00000X
Ophthalmology Physician
Primary
6044
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
180046080
RAILROAD MEDICARE
MT
01
—
9567
MEDICARE WY
WY
Enumeration date
07/26/2006
Last updated
01/08/2015
Update your record
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