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Individual

GLADYS A ADAMS

Active
Sole proprietor

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
809 E WASHINGTON ST, SUITE 106, PHOENIX, AZ 85034-1052
(602) 340-9455
(602) 253-5359
Mailing address
809 E WASHINGTON ST, SUITE 106, PHOENIX, AZ 85034-1052
(602) 340-1429
(602) 340-1327

Taxonomy

Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
2146
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
442468
AZ
Enumeration date
07/14/2005
Last updated
07/08/2007
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