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General NPI Number Information
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NPI Number | 1477521011
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Entity Type | Individual
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Provider Name | DAVID EDWARD ADAMS MD
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Gender | Male
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Dates
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Enumeration Date | 03/09/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 4102 PINION DR
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City | U S A F ACADEMY
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State | CO
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Zip | 80840-2502
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Country | US
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Telephone | 719-333-5916
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Fax |
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Provider Business Mailing Address
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Address Line | 2324 WINDRIVER TRL
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City | CHEYENNE
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State | WY
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Zip | 82009-2259
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Country | US
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Telephone | 307-632-6315
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RG0100X
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Taxonomy Name | Gastroenterology Physician
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License Number | 40169
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License Number State | CO
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