Individual
MR. JAMES WILLIS SOUTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
175 S UNION BLVD STE 300, COLORADO SPRINGS, CO 80910-3126
(719) 365-1950
(719) 365-1951
Mailing address
175 S UNION BLVD STE 300, COLORADO SPRINGS, CO 80910-3126
(719) 365-1950
(719) 365-1951
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
797
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03086712
—
CO
Enumeration date
01/25/2006
Last updated
09/21/2016
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