Individual
DR. JASON D. ADAMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1943A SOUTH BURNSIDE, GONZALES, LA 70737-4632
(225) 647-2294
(225) 647-2295
Mailing address
1943A S. BURNSIDE, GONZALES, LA 70737-4632
(225) 647-2294
(225) 647-2295
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
14302R
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
010822465
TAX ID #
LA
05
—
1621820
—
LA
Enumeration date
06/15/2005
Last updated
04/01/2014
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