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NPI Code Detail

MEDICARE: JOEL ADDAMS M.D.

MEDICARE: JOEL ADDAMS M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207ZB0001XBlood Banking & Transfusion Medicine Physician62714AZ
2207ZC0006XClinical Pathology Physician4835992-1205UT
3207R00000XInternal Medicine PhysicianMDR-5731HI

General Provider Information

NPI Number : 1689801920
Entity Type Code : Individual
Provider Name (Legal Business Name) : JOEL ADDAMS M.D.
Provider Business Mailing Address
First Line : 1625 N CAMPBELL AVE RM 41551
Second Line :
City : TUCSON
State : AZ
Zip : 85719-4330
Country : US
Telephone Number : 520-694-6412
Fax Number :
Provider Business Practice Location Address
First Line : 1625 N CAMPBELL AVE
Second Line :
City : TUCSON
State : AZ
Zip : 85719-4330
Country : US
Telephone Number : 520-694-6412
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/13/2009
Last Update Date : 01/23/2026

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