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Individual

MR. JODY D ADAMS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
CRNA

Contact information

Practice address
1118 S FARMERVILLE ST, RUSTON, LA 71270-5914
(318) 232-7119
(318) 232-1092
Mailing address
PO BOX 1547, SEDALIA, MO 65302-1547
(660) 826-5960
(660) 826-4852

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
AP03708
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1433098
LA
Enumeration date
02/28/2007
Last updated
03/04/2015
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