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James Markle Tatum, OD

Optometrist in Rancho Cucamonga, CA. Individual provider (NPI-1).

NPI number1649307828
StatusActive
Last updated in NPPESAug 20, 2013

Details

NPI
1649307828
Entity type
Individual (NPI-1)
Name
James Markle Tatum
Credential
OD
Sex
Male
Sole proprietor
Yes
Enumeration date
Feb 27, 2007
Last updated
Aug 20, 2013

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
152W00000X Optometrist6368TCAYes

Practice location

10165 Foothill Blvd Ste 6
Rancho Cucamonga, CA 91730-0341

Phone 909-987-0728 · Fax 909-987-0729

Mailing address

10165 Foothill Blvd Ste 6
Rancho Cucamonga, CA 91730-0341

Phone 909-987-0728 · Fax 909-987-0729

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