Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2084N0400X | Neurologist | 013742 | LA |
NPI | 1013986314 |
---|---|
Provider Name | Donald S Adams |
First Address | Metairie, LA 70006-4182 |
Second Address | Metairie, LA 70006-4182 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 17/03/2006 |
Last Update Date | 22/01/2019 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1312045 | (05) | LA |
B60469 | (02) | LA |