Organization
JEFFEREY DOUGLAS ADAIR MD
Active
Other names
Arklatex Spine
Organization subpart
No
Provider details
NPI number
Authorized official
MACKENZIE HAHN (NCPDP COORDINATOR)
(855) 296-3757
Entity
Organization
Contact information
Practice address
8860 FERN AVE., SUITE 120, SHREVEPORT, LA 71105
(318) 841-9999
(318) 841-9996
Mailing address
200 RITTENHOUSE CIRCLE, EAST BUILDING STE 5, BRISTOL, PA 19007
(855) 295-3757
(866) 740-4689
Taxonomy
Speciality
Code
Description
License number
State
332900000X
Non-Pharmacy Dispensing Site
Primary
MD.020437
LA
Other
Enumeration date
08/21/2018
Last updated
08/21/2018
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