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Individual

DR. FREDERICK DAVID ADAMS

Active
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Individual

DR. FREDERICK DAVID ADAMS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
ANESTHESIOLOGIST

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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