Individual
JAMES JOHN AMOS
Active
Individual
JAMES JOHN AMOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
2084P0015X
Psychosomatic Medicine Physician
29828
IA
2084P0800X
Psychiatry Physician
Primary
29828
IA
2084P0800X
Psychiatry Physician
52688-020
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1972573921
—
WI
01
—
60883
DEAN HEALTH INSURANCE
WI
Enumeration date
01/24/2006
Last updated
01/19/2010
Update your record
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