Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111NR0200X | Radiology | 225 | AK |
Y | 213ER0200X | Radiology | 225 | AK |
NPI | 1790939361 |
---|---|
Provider Name | Dr. Tawnia L Adams |
First Address | Anchorage, AK 99523-0347 |
Second Address | Anchorage, AK 99507-5010 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 10/11/2008 |
Last Update Date | 10/11/2008 |