Individual
DR. BRENDA J ADAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3090 E GENTRY WAY, SUITE 200, MERIDIAN, ID 83642-3501
(208) 887-6813
(208) 887-6884
Mailing address
190 E BANNOCK ST, BOISE, ID 83712-6241
(208) 887-6813
(208) 887-6884
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
M- 5264
ID
Other
Enumeration date
05/13/2006
Last updated
08/18/2012
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