Individual
DR. FREDERICK DAVID ADAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ANESTHESIOLOGIST
Contact information
Practice address
5699 US ROUTE 60, HUNTINGTON, WV 25705-2145
(304) 736-6126
(304) 736-1531
Mailing address
PO BOX 515, BARBOURSVILLE, WV 25504-0515
(304) 736-6126
(304) 736-1531
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
13950
WV
207L00000X
Anesthesiology Physician
35.080574
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
001721135
WV BLUE CROSS PROVIDER #
WV
05
—
0057970000
—
WV
01
—
550696369-00
WV WORKERS COMP PROV.#
WV
Enumeration date
11/09/2006
Last updated
10/06/2011
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