Individual
JAMES D. MASSEY JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2 W 42ND ST, SUITE 1100, SCOTTSBLUFF, NE 69361-4669
(308) 635-3155
(308) 635-2966
Mailing address
230975 CR J, SCOTTSBLUFF, NE 69361
(308) 635-3155
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
16433
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
040004167
PALMENTO GBA RR MEDICARE
NE
05
—
16433
—
NE
05
—
480940789
—
NE
01
—
W308228
NORIDAN
WY
Enumeration date
07/26/2006
Last updated
09/05/2008
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