Provider Demographics
NPI:1225092091
Name:PERDUE, JAMES B JR (LAC)
Entity Type:Individual
Prefix:MR
First Name:JAMES
Middle Name:B
Last Name:PERDUE
Suffix:JR
Gender:M
Credentials:LAC
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Mailing Address - Street 1:611 S. PALM CANYON DRIVE
Mailing Address - Street 2:SUITE 7-574
Mailing Address - City:PALM SPRINGS
Mailing Address - State:CA
Mailing Address - Zip Code:92264-7453
Mailing Address - Country:US
Mailing Address - Phone:760-327-3500
Mailing Address - Fax:760-406-5860
Practice Address - Street 1:2150 EAST TAHQUITZ CANYON WAY
Practice Address - Street 2:SUITE 5
Practice Address - City:PALM SPRINGS
Practice Address - State:CA
Practice Address - Zip Code:92262-6817
Practice Address - Country:US
Practice Address - Phone:760-327-3500
Practice Address - Fax:760-327-5233
Is Sole Proprietor?:Yes
Enumeration Date:2006-04-17
Last Update Date:2009-03-05
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Provider Licenses
StateLicense IDTaxonomies
CAAC8934171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist