Individual
MR. MICHAEL C ADAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
2121 NORTH AVE., GRAND JUNCTION, CO 81501
(970) 242-0731
(970) 327-4228
Mailing address
2121 NORTH AVE., GRAND JUNCTION, CO 81501
(970) 424-0731
(970) 327-4228
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
1079
CO
363A00000X
Physician Assistant
Primary
PA0001079
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
825040024
—
CO
05
—
82504024
—
CO
01
—
CO300294
MEDICARE B WITH BASIN CLINIC
CO
Enumeration date
11/24/2006
Last updated
11/27/2013
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