Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 2080P0214X | Pediatric Pulmonologist | 37502 | AZ |
Y | 2080P0214X | Pediatric Pulmonologist | G59501 | CA |
N | 2080P0214X | Pediatric Pulmonologist | MD2014-0666 | NM |
NPI | 1437100963 |
---|---|
Provider Name | Allan Adler |
First Address | Stinson Beach, CA 94970-0248 |
Second Address | Anchorage, AK 99508-4615 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 12/05/2006 |
Last Update Date | 21/08/2014 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
003000261P | HUMANA (01) | |
34163200 | (05) | WI |
F16023 | (02) |