Individual
DR. ADAM HARRIS CANTOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C
Contact information
Practice address
754 SIR FRANCIS DRAKE BLVD STE 2, SAN ANSELMO, CA 94960-1933
(415) 454-9600
(415) 454-3509
Mailing address
754 SIR FRANCIS DRAKE BLVD STE 2, SAN ANSELMO, CA 94960-1933
(415) 454-9600
(415) 454-3509
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
DC0028460
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DB467Z
MEDICARE PTAN
CA
01
—
DC0284600
MEDICARE PTAN
CA
01
—
DC0284601
MEDICARE PTAN
CA
Enumeration date
07/14/2006
Last updated
11/16/2011
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