Individual
DR. ANDREA MICHELE ADAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
550 W 121ST ST S, GLENPOOL, OK 74033-8677
(918) 291-5200
(918) 291-5929
Mailing address
550 W 121ST ST S, GLENPOOL, OK 74033-8677
(918) 291-5200
(918) 291-5929
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
4170
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200097180A
—
OK
Enumeration date
08/31/2006
Last updated
01/02/2015
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