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Individual

DR. CRAIG WILLIAM ADAMS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
O.D.

Contact information

Practice address
940 SYLVA LN STE G, SONORA, CA 95370-5969
(209) 532-0340
(209) 532-6405
Mailing address
940 SYLVA LN STE G, SONORA, CA 95370-5969
(209) 532-0340
(209) 532-6405

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPT10845T
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1299310001
DMERC NORIDIAN
CA
01
410044133
RAILROAD MEDICARE
CA
05
SDO108450
CA
Enumeration date
02/23/2007
Last updated
04/29/2015
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