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General NPI Number Information
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NPI Number | 1972746998
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Entity Type | Individual
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Provider Name | JAMES BLAIR ALFORD D.O.
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Gender | Male
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Dates
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Enumeration Date | 04/07/2009
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Last Update Date | 04/05/2019
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Provider Practice Location Address
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Address Line | 4720 JOHNSON DR
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City | ROELAND PARK
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State | KS
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Zip | 66205-3446
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Country | US
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Telephone | 913-222-8399
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Fax |
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Provider Business Mailing Address
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Address Line | 6048 HOWE DR
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City | FAIRWAY
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State | KS
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Zip | 66205-3446
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Country | US
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Telephone | 816-898-5705
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | 2013044282
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License Number State | MO
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Taxonomy #2
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | 05-40757
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License Number State | KS
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