Individual
ADAM WERLEY NEVITT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1900 SULLIVAN AVE, DALY CITY, CA 94015-2200
(650) 991-6503
Mailing address
P.O. BOX 6102, NOVATO, CA 94948-6102
(415) 884-3418
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
A68049
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A680490
—
CA
05
—
1811934797
—
NV
01
—
300121785
RAILROAD MEDICARE
CA
Enumeration date
06/01/2006
Last updated
04/26/2011
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