Individual
DONOVAN C JAMES
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1925 E ORMAN AVE, SUITE A109, PUEBLO, CO 81004-3537
(719) 564-0210
(719) 564-9483
Mailing address
1925 E ORMAN AVE, SUITE A109, PUEBLO, CO 81004-3537
(719) 564-0210
(719) 564-9483
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
43156
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
18621023
—
CO
Enumeration date
08/19/2005
Last updated
07/08/2007
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