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Individual

JOHN GRAMLING ADAMS JR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
3220 BLUFF CREEK DR, STE 100, COLUMBIA, MO 65201-3663
(573) 443-8773
(573) 443-6843
Mailing address
3220 BLUFF CREEK DR, SUITE 100, COLUMBIA, MO 65201-3663
(573) 443-8773
(573) 443-6843

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
103971
MO
2086S0129X
Vascular Surgery Physician
Primary
103971
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1980317
UNITED HEALTHCARE
MO
01
19973
HEALTHCARE USA
MO
01
20157
ANTHEM BLUECROSS BLUESHIE
MO
05
207974908
MO
01
273734
HEALTHLINK, INC
MO
01
28058
GHP
MO
01
431428562
GREAT WEST
MO
01
5410082
AETNA
MO
01
9134342
PHCS
MO
01
G02433
MERCY
MO
Enumeration date
06/10/2005
Last updated
07/22/2022
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