Individual
JAMES W MCCANLESS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
650 DITTMER AVE, PUEBLO, CO 81005
(719) 565-2000
Mailing address
PO BOX 1485, PUEBLO, CO 81002-1485
(719) 543-8777
(719) 543-7882
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
27112
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01271121
—
CO
Enumeration date
06/20/2005
Last updated
05/14/2019
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