MEDICARE: JAMES F. BOX M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207P00000X	Emergency Medicine Physician	C6374	AR

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	C67860	OTHER		UPIN
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	50579	OTHER	AR	BCBS

General Provider Information

NPI Number	:	1538107354
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JAMES F. BOX M.D.

Provider Business Mailing Address
First Line	:	4309 SUGAR MAPLE LN
Second Line	:
City	:	LITTLE ROCK
State	:	AR
Zip	:	72223-2138
Country	:	US
Telephone Number	:	501-952-9046
Fax Number	:	866-217-7563

Provider Business Practice Location Address
First Line	:	4309 SUGAR MAPLE LN
Second Line	:
City	:	LITTLE ROCK
State	:	AR
Zip	:	72223-2138
Country	:	US
Telephone Number	:	501-952-9046
Fax Number	:	866-217-7563

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/03/2006
Last Update Date	:	09/21/2010

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