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NPI Code Detail

MEDICARE: DR. VANNESSA ADAMS DO

MEDICARE: DR. VANNESSA ADAMS DO
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
1207R00000XInternal Medicine PhysicianR4019AZ
2207RG0300XGeriatric Medicine (Internal Medicine) PhysicianR4019AZ
3390200000XStudent in an Organized Health Care Education/Training Program

General Provider Information

NPI Number : 1164127221
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. VANNESSA ADAMS DO
Provider Business Mailing Address
First Line : 7901 E 22ND ST
Second Line :
City : TUCSON
State : AZ
Zip : 85710-8509
Country : US
Telephone Number : 520-694-8888
Fax Number : 520-694-8466
Provider Business Practice Location Address
First Line : 7901 E 22ND ST
Second Line :
City : TUCSON
State : AZ
Zip : 85710-8509
Country : US
Telephone Number : 520-694-8888
Fax Number : 520-694-8466
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/30/2023
Last Update Date : 02/05/2026

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