Individual
MR. DAVID D. ADAMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
2001 S WOODRUFF AVE, STE 5, IDAHO FALLS, ID 83404-6374
(208) 528-8777
(208) 528-9777
Mailing address
2001 S WOODRUFF AVE, STE 5, IDAHO FALLS, ID 83404-6374
(208) 528-8777
(208) 528-9777
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA-08
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
806420200
—
ID
Enumeration date
05/15/2006
Last updated
01/20/2010
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