Individual
JAMES MCCORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3067 E COPPER POINT DR, MERIDIAN, ID 83642-1740
(208) 287-1733
Mailing address
12586 W DEEP CANYON DR, STAR, ID 83669-5066
Taxonomy
Speciality
Code
Description
License number
State
225500000X
Respiratory/Developmental/Rehabilitative Specialist/Technologist
Primary
PSG-014
ID
Other
Enumeration date
08/05/2020
Last updated
08/05/2020
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