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Organization
SCOTT E ADAMS DPM INC
Active
Organization
SCOTT E ADAMS DPM INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SCOTT E. ADAMS D.P.M. (OWNER)
(805) 481-0881
Entity
Organization
Contact information
Practice address
310 S HALCYON RD, SUITE 101, ARROYO GRANDE, CA 93420-3872
(805) 481-0881
(805) 481-0835
Mailing address
310 S HALCYON RD, SUITE 101, ARROYO GRANDE, CA 93420-3872
(805) 481-0881
(805) 481-0835
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
40580
CA
332B00000X
Durable Medical Equipment & Medical Supplies
0600250001
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DG7094
RAILRIOAD MEDICARE
CA
05
—
GRE001760
—
CA
01
—
ZZZ50260Y
BLUE SHIELD
CA
Enumeration date
09/01/2005
Last updated
06/01/2015
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