Individual
DR. JAMES T NINOMIYA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
UNM DEPARTMENT OF ORTHOPAEDICS MSC 10-5600, 1 UNIVERSITY OF NEW MEXICO, ALBUQUERQUE, NM 87131-0001
(414) 272-1647
Mailing address
UNM DEPARTMENT OF ORTHOPAEDICS MSC 10-5600, 1 UNIVERSITY OF NEW MEXICO, ALBUQUERQUE, NM 87131-0001
(414) 272-1647
Taxonomy
Speciality
Code
Description
License number
State
207XS0114X
Adult Reconstructive Orthopaedic Surgery Physician
Primary
MD2020-0114
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
002000128K
HUMANA
—
05
—
1902858681
—
WI
Enumeration date
05/17/2006
Last updated
04/07/2020
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