Individual
BENJAMIN EDWARD ADAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
700 W JEFFERSON ST, KIRKSVILLE, MO 63501-1441
(660) 665-2191
(660) 626-2714
Mailing address
166 W 1325 N, STE 250, CEDAR CITY, UT 84721-7794
(660) 665-2198
(660) 626-2714
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
2004016406
MO
Other
Enumeration date
04/18/2007
Last updated
12/07/2018
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