MEDICARE: DUANE D ADAMS

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	332B00000X	Durable Medical Equipment & Medical Supplies

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1881879930
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DUANE D ADAMS

Provider Business Mailing Address
First Line	:	5266 HOLLISTER AVENUE
Second Line	:	SUITE 107
City	:	SANTA BARBARA
State	:	CA
Zip	:	93111-2037
Country	:	US
Telephone Number	:	805-967-9200
Fax Number	:	805-967-9209

Provider Business Practice Location Address
First Line	:	5266 HOLLISTER AVE
Second Line	:	SUITE 107
City	:	SANTA BARBARA
State	:	CA
Zip	:	93111-2037
Country	:	US
Telephone Number	:	805-967-9200
Fax Number	:	805-967-9209

Authorized Official
Title or Position	:	OWNER
Name	:	MR. DUANE DOUGLAS ADAMS
Credential	:
Telephone Number	:	805-967-9200

Provider Enumeration Date	:	01/08/2008
Last Update Date	:	06/19/2008

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