Individual
JAMES R INGRAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
2500 CANYON RD STE C1, BULLHEAD CITY, AZ 86442-8493
(928) 444-1491
(928) 444-1330
Mailing address
2500 CANYON RD STE C1, BULLHEAD CITY, AZ 86442-8493
(928) 444-1491
(928) 444-1330
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
010823
AZ
207X00000X
Orthopaedic Surgery Physician
Primary
M9369
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
199871802
—
TX
Enumeration date
03/29/2006
Last updated
03/13/2024
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