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Individual

SCOTT E ADAMS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DPM

Contact information

Practice address
310 S HALCYON RD, SUITE 101, ARROYO GRANDE, CA 93420-3872
(805) 481-0881
(805) 481-0835
Mailing address
310 S HALCYON RD, SUITE 101, ARROYO GRANDE, CA 93420-3872
(805) 481-0881
(805) 481-0835

Taxonomy

Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
E3834
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000E38340
BLUE SHIELD
CA
05
000E38340
CA
Enumeration date
09/02/2005
Last updated
04/26/2015
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