Organization
FRED ADAMS M.D. INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. FRED ADAMS M.D. (M.D. PRESIDENT)
(209) 575-5844
Entity
Organization
Contact information
Practice address
1400 FLORIDA AVE, SUITE 205 A, MODESTO, CA 95350-4422
(209) 575-5844
(209) 575-5846
Mailing address
1400 FLORIDA AVE STE 205A, MODESTO, CA 95350-4445
(209) 575-5844
(209) 575-5846
Taxonomy
Speciality
Code
Description
License number
State
305R00000X
Preferred Provider Organization
Primary
A320550
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A320550
—
CA
Enumeration date
01/09/2013
Last updated
01/09/2013
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