Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207K00000X | Allergist & Immunologist | 62412 | WI |
Y | 207K00000X | Allergist & Immunologist | MED-PHYS-LIC-50737 | MT |
N | 207KA0200X | Allergist | 62412 | WI |
N | 208000000X | Pediatrician | 62412 | WI |
NPI | 1144512096 |
---|---|
Provider Name | Dr. Juan Armando Adams |
First Address | Billings, MT 59107-5100 |
Second Address | Billings, MT 59101-0905 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 11/05/2011 |
Last Update Date | 01/09/2016 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1144512096 | (05) | WI |