Individual
FRED ADAMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1400 FLORIDA AVE, STE 205A, MODESTO, CA 93350-4422
(209) 575-5844
(209) 575-5846
Mailing address
1400 FLORIDA AVE, STE 205A, MODESTO, CA 93350-4422
(209) 575-5844
(209) 575-5846
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
A32055
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
OOA320550
—
CA
Enumeration date
04/26/2006
Last updated
06/06/2013
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