Individual
MARK HAWKINS ADAMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5920 MCINTYRE ST, GOLDEN, CO 80403
(720) 434-4876
Mailing address
541 S LAHOMA AVE, NORMAN, OK 73069-5525
(405) 202-1616
(405) 360-1309
Taxonomy
Speciality
Code
Description
License number
State
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
14739
OK
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
DR.0059468
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100130130A
—
OK
01
—
610405700
DEPT OF LABOR
OK
Enumeration date
10/12/2005
Last updated
09/06/2018
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