Individual
ANTHONY ADAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
5310 E 31ST ST, TULSA, OK 74135-5018
(918) 863-5720
Mailing address
11024 S 275TH EAST AVE, COWETA, OK 74429-3482
(918) 863-5720
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
456032
N/A
—
Enumeration date
12/13/2022
Last updated
12/13/2022
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