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Individual

DR. JAMES ALLEN JAGGER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
560 S LOOP RD, EDGEWOOD, KY 41017
(859) 301-2663
(859) 817-7848
Mailing address
560 S LOOP RD, EDGEWOOD, KY 41017-3405
(859) 301-2663
(859) 817-7851

Taxonomy

Speciality
Code
Description
License number
State
207PS0010X
Sports Medicine (Emergency Medicine) Physician
01032896A
IN
207QS0010X
Sports Medicine (Family Medicine) Physician
Primary
36747
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
201278990
IN
Enumeration date
02/07/2006
Last updated
08/15/2018
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