Individual
MARK A ADAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1 S KEENE ST, COLUMBIA, MO 65201-7199
(573) 443-2402
(573) 443-0574
Mailing address
1 S KEENE ST, COLUMBIA, MO 65201-7199
(573) 443-2402
(573) 443-0574
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
R1H01
MO
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
Primary
R1H01
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
202407615
—
MO
Enumeration date
08/30/2005
Last updated
04/19/2012
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