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Organization

JAMES J ROCKEFELLER MD, PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JAMES J ROCKEFELLER MD (OWNER/AUTHORIZED OFFICIAL)
(505) 259-0508
Entity
Organization

Contact information

Practice address
3901 W 15TH ST, PLANO, TX 75075-7738
(765) 284-0493
Mailing address
PO BOX 1889, MUNCIE, IN 47308-1889
(765) 284-0493

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary

Other

Enumeration date
01/16/2020
Last updated
01/16/2020
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