Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2086S0122X | Plastic and Reconstructive Surgery | MD00018293 | WA |
NPI | 1255481446 |
---|---|
Provider Name | Dr. John Anthony Adams |
First Address | Spokane, WA 99202-1316 |
Second Address | Spokane, WA 99202-1316 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 11/01/2007 |
Last Update Date | 27/08/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0017217 | LABOR & INDUSTRIES (01) | WA |
A15057 | (02) | WA |