Individual
WILLIAM D ADAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
711 RIGBY LAKE DR, SUITE 115, RIGBY, ID 83442-5192
(208) 745-5021
(208) 745-5026
Mailing address
711 RIGBY LAKE DR, SUITE 115, RIGBY, ID 83442-5192
(208) 745-5021
(208) 745-5026
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0252
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
806044700
—
ID
Enumeration date
05/12/2006
Last updated
12/07/2011
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