Provider Demographics
NPI:1962467126
Name:NEID, JAMES M JR (MD)
Entity Type:Individual
Prefix:
First Name:JAMES
Middle Name:M
Last Name:NEID
Suffix:JR
Gender:M
Credentials:MD
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Mailing Address - Street 1:1550 S POTOMAC ST
Mailing Address - Street 2:SUITE270
Mailing Address - City:AURORA
Mailing Address - State:CO
Mailing Address - Zip Code:80012-5455
Mailing Address - Country:US
Mailing Address - Phone:303-750-1800
Mailing Address - Fax:303-750-8000
Practice Address - Street 1:1550 S POTOMAC ST
Practice Address - Street 2:SUITE 270
Practice Address - City:AURORA
Practice Address - State:CO
Practice Address - Zip Code:80012-5455
Practice Address - Country:US
Practice Address - Phone:303-750-1800
Practice Address - Fax:303-750-8000
Is Sole Proprietor?:No
Enumeration Date:2006-04-19
Last Update Date:2015-01-14
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Provider Licenses
StateLicense IDTaxonomies
CO39668207RI0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RI0200XAllopathic & Osteopathic PhysiciansInternal MedicineInfectious Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO54034027Medicaid
CO54034027Medicaid
CO503358Medicare PIN