Individual
JARED M ADAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
12301 S WESTERN AVE STE A1, OKLAHOMA CITY, OK 73170-6085
(405) 254-7529
(405) 254-7587
Mailing address
601 S HARBOUR ISLAND BLVD STE 200, TAMPA, FL 33602-5925
(800) 480-5243
(800) 928-7449
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
28056
OK
207Q00000X
Family Medicine Physician
TEP5937
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
47055301100
—
NE
Enumeration date
07/25/2008
Last updated
08/04/2023
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