Provider Demographics
NPI:1154364545
Name:WORKMAN, JAMES L (MD)
Entity type:Individual
Prefix:DR
First Name:JAMES
Middle Name:L
Last Name:WORKMAN
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:148 HIBISCUS DR
Mailing Address - Street 2:
Mailing Address - City:MAUMELLE
Mailing Address - State:AR
Mailing Address - Zip Code:72113-5816
Mailing Address - Country:US
Mailing Address - Phone:501-851-7634
Mailing Address - Fax:
Practice Address - Street 1:1801 W 40TH AVE
Practice Address - Street 2:SUITE 2C
Practice Address - City:PINE BLUFF
Practice Address - State:AR
Practice Address - Zip Code:71603-6900
Practice Address - Country:US
Practice Address - Phone:870-534-8651
Practice Address - Fax:870-534-2827
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-06-14
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
ARE27362085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
ARH27521Medicare UPIN
AR5L664Medicare ID - Type Unspecified