Individual
JAMES D. PRICKETT
Active
Individual
JAMES D. PRICKETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207RR0500X
Rheumatology Physician
Primary
MD00026079
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0229979
L&I AND CRIME VICTIMS
WA
05
—
1336146836
—
WA
01
—
4569PR
REGENCE
WA
01
—
4587359
AETNA
WA
05
—
8112229
—
WA
Enumeration date
06/30/2005
Last updated
11/19/2010
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