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Individual

JAMES L JUSTICE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
855 A AVE NE, SUITE 100, CEDAR RAPIDS, IA 52402-5057
(319) 362-0200
(319) 362-5186
Mailing address
855 A AVE NE, SUITE 100, CEDAR RAPIDS, IA 52402-5057
(319) 362-0200
(319) 362-5186

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
25580
IA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0058917
IA
01
010041842
RR MEDICARE
IA
05
1588642128
IA
Enumeration date
01/04/2006
Last updated
05/17/2012
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