Organization
BRANDON L ADAMS MD PS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRANDON L ADAMS MD (PRESIDENT)
(360) 642-8064
Entity
Organization
Contact information
Practice address
105 6TH ST, LONG BEACH, WA 98631
(360) 642-8064
Mailing address
PO BOX 626, ILWACO, WA 98624-0626
(360) 642-8064
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1070861
—
WA
Enumeration date
04/01/2008
Last updated
04/01/2008
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