Mudd, James Otis
Mudd, James Otis is an individual health care provider with primary practice located at 122 W 7Th Ave Ste 232 , Spokane WA 99204-2354. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Advanced Heart Failure and Transplant Cardiology, Allopathic & Osteopathic Physicians / Cardiovascular Disease. Allopathic & Osteopathic Physicians / Advanced Heart Failure and Transplant Cardiology is his primary health care specialty. Mudd, James Otis can be contacted via phone (509) 474-2041.Contact Information
Primary practice address
122 W 7Th Ave Ste 232
Spokane WA 99204-2354
Phone: (509) 474-2041
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 79755 | Montana |
| Allopathic & Osteopathic Physicians / Advanced Heart Failure and Transplant Cardiology | 207RA0001X | MD152479 | Oregon |
| Allopathic & Osteopathic Physicians / Advanced Heart Failure and Transplant Cardiology | 207RA0001X | 79755 | Montana |
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | MD152479 | Oregon |
| Allopathic & Osteopathic Physicians / Advanced Heart Failure and Transplant Cardiology | 207RA0001X | MD60896935 | Washington |
Profile Details
| NPI number | 1598802670 |
|---|---|
| LBN Legal business name | Mudd, James Otis |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 30th, 2007 |
| Last updated | Jun 22nd, 2021 - about 5 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1598802670 | NPPES |
| Oregon | MEDICAID | 500629287 |
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