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Individual

DR. MICHAEL K. JAMES

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DPM

Contact information

Practice address
3345 S HOLMES AVE, IDAHO FALLS, ID 83404-7981
(208) 528-6225
(208) 528-8022
Mailing address
3345 S HOLMES AVE, IDAHO FALLS, ID 83404-7981
(208) 528-6225
(208) 528-8022

Taxonomy

Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
P140-7
ID

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000010015609
BLUE SHIELD
ID
05
001310400
ID
01
1629111497
NPI
01
P140-7
BLUE CROSS
ID
Enumeration date
02/14/2007
Last updated
04/28/2011
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