Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207QA0505X | Family Doctor - Adult Medicine | 8210 | MT |
NPI | 1265659239 |
---|---|
Provider Name | Jeffrey Scot Adams |
First Address | Missoula, MT 59808-1321 |
Second Address | Missoula, MT 59808-1321 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 19/04/2007 |
Last Update Date | 05/04/2011 |