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NPI Code Detail

MEDICARE: DR. PAUL H. ADAMSON D.P.M.

MEDICARE: DR. PAUL H. ADAMSON D.P.M.
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
1213ES0131XFoot Surgery PodiatristSC-003090-LPA

General Provider Information

NPI Number : 1699774604
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. PAUL H. ADAMSON D.P.M.
Provider Business Mailing Address
First Line : 1515 NE LAWRIE TATUM RD
Second Line :
City : LAWTON
State : OK
Zip : 73507-3002
Country : US
Telephone Number : 580-354-5566
Fax Number :
Provider Business Practice Location Address
First Line : 1515 NE LAWRIE TATUM RD
Second Line :
City : LAWTON
State : OK
Zip : 73507-3002
Country : US
Telephone Number : 580-354-5566
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/20/2005
Last Update Date : 04/02/2008

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