DEREK PHILLIP JAMES

POLACCA, AZ
NPI1629394176
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy374700000X Technician
(Licence: KS  586073)
Enumeration Date2010-04-08
Last Update Date2010-04-08
Business Address
Mr. DEREK PHILLIP JAMES cma
SR 264 MP 388 HOPI HEALTH CARE CENTER
POLACCA, AZ 86042-4000
Phone number: 928-737-6000
Mailing Address
Mr. DEREK PHILLIP JAMES cma
PO BOX 4000
POLACCA, AZ 86042-4000
Phone number: 928-737-6000
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