Individual
JOHN ADAM HAWKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
150 PIONEER LN, BISHOP, CA 93514
(760) 873-5811
Mailing address
150 PIONEER LN, BISHOP, CA 93514-2556
(760) 873-5811
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
20A15205
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1689061293
—
CA
Enumeration date
04/21/2015
Last updated
07/09/2018
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