Provider Demographics
NPI:1104802826
Name:RICE, JAMES PHILIP (MD)
Entity type:Individual
Prefix:DR
First Name:JAMES
Middle Name:PHILIP
Last Name:RICE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4711 90TH AVE SE
Mailing Address - Street 2:
Mailing Address - City:MERCER ISLAND
Mailing Address - State:WA
Mailing Address - Zip Code:98040-4433
Mailing Address - Country:US
Mailing Address - Phone:619-405-2543
Mailing Address - Fax:
Practice Address - Street 1:914 CHARLES MORRIS CT SE
Practice Address - Street 2:HQ MILITARY SEALIFT COMMAND
Practice Address - City:WASHINGTON NAVY YARD
Practice Address - State:DC
Practice Address - Zip Code:20398-5540
Practice Address - Country:US
Practice Address - Phone:202-685-0726
Practice Address - Fax:202-685-5711
Is Sole Proprietor?:No
Enumeration Date:2005-12-15
Last Update Date:2009-08-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME 64222171000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171000000XOther Service ProvidersMilitary Health Care Provider