Individual
DR. JAMES ALLEN ENGELHART
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1509 WILSON TER, GLENDALE, CA 91206-4007
(818) 409-8000
(775) 785-8731
Mailing address
2200 N MAYFAIR RD, SUITE 200, WAUWATOSA, WI 53226-2252
(414) 258-9511
(414) 607-3946
Taxonomy
Speciality
Code
Description
License number
State
2085N0700X
Neuroradiology Physician
M8538
ID
2085R0202X
Diagnostic Radiology Physician
Primary
G56010
CA
2085R0202X
Diagnostic Radiology Physician
M8538
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
13468
NEVADA STATE BOARD OF MEDICAL EXAMINERS
NV
05
—
1649222480
—
CA
05
—
806331500
—
ID
01
—
P01170380
RAILROAD
CA
Enumeration date
05/17/2006
Last updated
02/05/2014
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