NPI 1629394176

Derek Phillip James, CMA

Practitioner Technician Polacca, AZ

Practice location

Address: Sr 264 Mp 388 Hopi Health Care Center, Polacca, AZ 86042-4000
Phone: (928) 737-6000
Mailing address: PO Box 4000, Polacca, AZ 86042-4000

Registered specialties

Technician Primary

Nursing Service Related Providers Taxonomy 374700000X Licence 586073 (KS)

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Registry record

NPI: 1629394176
Entity type: Individual
Sex (as registered): Male
NPI issued: 8 Apr 2010
Record last updated: 8 Apr 2010

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.