Individual
GRACE ADAMSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
190 E BANNOCK ST, BOISE, ID 83712-6241
(208) 381-1615
Mailing address
190 E BANNOCK ST, BOISE, ID 83712-6241
(207) 973-5042
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
M-16291
ID
207Q00000X
Family Medicine Physician
MD24565
ME
Other
Enumeration date
05/29/2018
Last updated
06/09/2022
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