Individual
SUSAN R ADAMS
Active
Individual
SUSAN R ADAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
100517
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000010005
ESSENCE
MO
01
—
0400395
UHC
MO
01
—
127450
GHP
MO
01
—
172501
HEALTHLINK
MO
01
—
28144
BCBS
MO
01
—
4226213
AETNA
MO
01
—
F37554
MERCY
MO
Enumeration date
11/02/2005
Last updated
02/08/2019
Update your record
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