Individual
DR. BOBBY JO ADAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Taxonomy
Speciality
Code
Description
License number
State
207RS0010X
Sports Medicine (Internal Medicine) Physician
Primary
OP00000809
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
16179
L&I
—
05
—
1734003
—
WA
Enumeration date
09/28/2006
Last updated
12/01/2011
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