MEDICARE: DR. RUTH ELIZABETH ADAMS M.D.

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	207ND0101X	MOHS-Micrographic Surgery Physician	8533	NV

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	8533	OTHER	NV	MEDICAL LICENSE

General Provider Information

NPI Number	:	1841214632
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. RUTH ELIZABETH ADAMS M.D.

Provider Business Mailing Address
First Line	:	1505 MEDICAL PKWY
Second Line	:	CARSON DEMATOLOGY
City	:	CARSON CITY
State	:	NV
Zip	:	89703-4634
Country	:	US
Telephone Number	:	775-883-7811
Fax Number	:	775-883-7871

Provider Business Practice Location Address
First Line	:	1100 S CARSON ST
Second Line	:	CARSON DEMATOLOGY
City	:	CARSON CITY
State	:	NV
Zip	:	89701-5232
Country	:	US
Telephone Number	:	775-883-7811
Fax Number	:	775-883-7871

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

Provider Enumeration Date	:	07/26/2006
Last Update Date	:	03/07/2023

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