Individual
JAMES OTIS MUDD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
62 W 7TH AVE STE 300, SPOKANE, WA 99204-2321
(509) 474-2041
(509) 598-2139
Mailing address
PO BOX 31001-4114, PASADENA, CA 91110-0001
(866) 747-2455
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
79755
MT
207RA0001X
Advanced Heart Failure and Transplant Cardiology Physician
79755
MT
207RA0001X
Advanced Heart Failure and Transplant Cardiology Physician
MD152479
OR
207RA0001X
Advanced Heart Failure and Transplant Cardiology Physician
Primary
MD60896935
WA
207RC0000X
Cardiovascular Disease Physician
MD152479
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500629287
—
OR
Enumeration date
01/30/2007
Last updated
03/20/2026
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