Provider Demographics
NPI:1972599454
Name:ICE, JAMES PAUL (MD)
Entity Type:Individual
Prefix:DR
First Name:JAMES
Middle Name:PAUL
Last Name:ICE
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:36 W MEMORIAL RD STE C3
Mailing Address - Street 2:
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73114-2312
Mailing Address - Country:US
Mailing Address - Phone:405-755-3110
Mailing Address - Fax:405-755-3159
Practice Address - Street 1:36 W MEMORIAL RD STE C3
Practice Address - Street 2:
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73114-2312
Practice Address - Country:US
Practice Address - Phone:405-755-3110
Practice Address - Fax:405-755-3159
Is Sole Proprietor?:No
Enumeration Date:2005-09-21
Last Update Date:2015-05-12
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
OK172992083A0100X, 2083P0500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2083P0500XAllopathic & Osteopathic PhysiciansPreventive MedicinePreventive Medicine/Occupational Environmental Medicine
No2083A0100XAllopathic & Osteopathic PhysiciansPreventive MedicineAerospace Medicine