Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RH0000X | Hematologist | A20742 | CA |
NPI | 1477504801 |
---|---|
Provider Name | Dr. John W Adamson |
First Address | San Diego, CA 92193-2410 |
Second Address | San Diego, CA 92122-1006 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 12/05/2006 |
Last Update Date | 03/06/2019 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
007000215T | HUMANA (01) | |
32601800 | (05) | WI |
A03946 | (02) |