Healthcare Provider Details

I. General information

NPI: 1265963656
Provider Name (Legal Business Name): CURTIS TODD ADAMS MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/27/2017
Last Update Date: 09/22/2026
Certification Date: 09/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4003 RAWLINS ST
CHEYENNE WY
82001-1800
US

IV. Provider business mailing address

4003 RAWLINS ST
CHEYENNE WY
82001-1800
US

V. Phone/Fax

Practice location:
  • Phone: 307-323-2679
  • Fax: 307-323-2740
Mailing address:
  • Phone: 307-323-2679
  • Fax: 307-323-2740

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207XS0114X
TaxonomyAdult Reconstructive Orthopaedic Surgery Physician
License Number15157A
License Number StateWY
# 2
Primary TaxonomyN
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License Number303536
License Number StateNY
# 3
Primary TaxonomyN
Taxonomy Code207XS0114X
TaxonomyAdult Reconstructive Orthopaedic Surgery Physician
License NumberA179314
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: