Individual
RONALD L MCADAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1600 S. 20TH AVENUE, MT GRAHAM REGIONAL MEDICAL CENTER, SAFFORD, AZ 85546
(928) 348-4000
Mailing address
1600 S. 20TH AVENUE, MT GRAHAM REGIONAL MEDICAL CENTER, SAFFORD, AZ 85546
(928) 348-4000
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
4560
AZ
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
4560
AZ
207PE0005X
Undersea and Hyperbaric Medicine (Emergency Medicine) Physician
4560
AZ
207PH0002X
Hospice and Palliative Medicine (Emergency Medicine) Physician
4560
AZ
207PP0204X
Pediatric Emergency Medicine (Emergency Medicine) Physician
4560
AZ
207PS0010X
Sports Medicine (Emergency Medicine) Physician
4560
AZ
207PT0002X
Medical Toxicology (Emergency Medicine) Physician
4560
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000378676
BCBS - MARY STREET
IN
01
—
000000380186
BCBS - GATEWAY
IL
05
—
200800230
—
IN
Enumeration date
09/12/2006
Last updated
03/05/2014
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