Individual
CARL W ADAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1600 N GRAND AVE, SUITE 500, PUEBLO, CO 81003-2700
(719) 545-0663
Mailing address
1600 N GRAND AVE, SUITE 500, PUEBLO, CO 81003-2700
(719) 545-0663
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
25755
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
07407726
—
CO
Enumeration date
03/29/2006
Last updated
07/09/2007
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