Individual
AMY ADAMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1179 N MCDOWELL BLVD, PETALUMA, CA 94954-6559
(707) 559-7500
(707) 559-7620
Mailing address
1179 N MCDOWELL BLVD, PETALUMA, CA 94954-6559
(707) 559-7500
(707) 559-7620
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
A86901
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A86901
STATE MEDICAL LICENSE
CA
Enumeration date
10/13/2006
Last updated
06/20/2023
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