Individual
JAMES JOSEPH JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
10100 E SHANNON WOODS ST, SUITE 100, WICHITA, KS 67226-4104
(316) 219-8299
(316) 219-5899
Mailing address
10100 E SHANNON WOODS ST, SUITE 100, WICHITA, KS 67226-4104
(316) 219-8299
(316) 219-5899
Taxonomy
Speciality
Code
Description
License number
State
207XS0114X
Adult Reconstructive Orthopaedic Surgery Physician
Primary
04-21150
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100115260D
—
KS
01
—
102518
BLUE SHIELD
KS
01
—
1260
PREFERRED HEALTH SYSTEMS
KS
01
—
200045359
RR MEDICARE
—
Enumeration date
06/10/2006
Last updated
04/05/2017
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