MEDICARE: DR. TAWNIA L ADAMS D,C., D.A.C.B.R.

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
1	111NR0200X	Radiology Chiropractor	225	AK

General Provider Information

NPI Number	:	1790939361
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. TAWNIA L ADAMS D,C., D.A.C.B.R.

Provider Business Mailing Address
First Line	:	PO BOX 230347
Second Line	:
City	:	ANCHORAGE
State	:	AK
Zip	:	99523-0347
Country	:	US
Telephone Number	:	907-344-5288
Fax Number	:	907-344-5278

Provider Business Practice Location Address
First Line	:	9440 AUTUMN RIDGE CIR
Second Line	:
City	:	ANCHORAGE
State	:	AK
Zip	:	99507-5010
Country	:	US
Telephone Number	:	907-344-5288
Fax Number	:	907-344-5278

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/10/2008
Last Update Date	:	11/10/2008

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