Organization
BRADLEY J ADAMS D P M
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRADLEY J ADAMS D P M (D P M/OWNER)
(419) 337-8897
Entity
Organization
Contact information
Practice address
734 S SHOOP AVE, WAUSEON, OH 43567-1707
(419) 337-8897
(419) 337-4910
Mailing address
734 S SHOOP AVE, WAUSEON, OH 43567-1707
(419) 337-8897
(419) 337-4910
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000115549
ANTHEM
OH
01
—
02037
PARAMOUNT
OH
01
—
605732
BUCKEYE CHP
OH
Enumeration date
12/31/2007
Last updated
07/21/2022
Update your record
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