Provider Demographics
NPI:1679526933
Name:ST.JOHN, JAMES N (MD)
Entity Type:Individual
Prefix:
First Name:JAMES
Middle Name:N
Last Name:ST.JOHN
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:201 CEDAR ST SE
Mailing Address - Street 2:5TH FLOOR, PROFESSIONAL BLDG, SUITE 5630
Mailing Address - City:ALBUQUERQUE
Mailing Address - State:NM
Mailing Address - Zip Code:87106-4917
Mailing Address - Country:US
Mailing Address - Phone:505-563-6399
Mailing Address - Fax:505-563-6680
Practice Address - Street 1:201 CEDAR ST SE
Practice Address - Street 2:5TH FLOOR, PROFESSIONAL BLDG, SUITE 5630
Practice Address - City:ALBUQUERQUE
Practice Address - State:NM
Practice Address - Zip Code:87106-4917
Practice Address - Country:US
Practice Address - Phone:510-339-3448
Practice Address - Fax:510-339-3478
Is Sole Proprietor?:No
Enumeration Date:2006-05-18
Last Update Date:2009-09-09
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Provider Licenses
StateLicense IDTaxonomies
NMMD2004-0372207T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207T00000XAllopathic & Osteopathic PhysiciansNeurological Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
A47386Medicare UPIN