Brandon L Adams Md Ps | |
105 6th St Long Beach WA 98631 | |
(360) 642-8064 | |
Not Available |
Full Name | Brandon L Adams Md Ps |
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Speciality | General Practice |
Location | 105 6th St, Long Beach, Washington |
Authorized Official Name and Position | Brandon L Adams (PRESIDENT) |
Authorized Official Contact | 3606428064 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Brandon L Adams Md Ps Po Box 626 Ilwaco WA 98624-0626 Ph: (360) 642-8064 | Brandon L Adams Md Ps 105 6th St Long Beach WA 98631 Ph: (360) 642-8064 |
NPI Number | 1295907137 |
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Provider Enumeration Date | 04/01/2008 |
Last Update Date | 04/01/2008 |
Identifier | Type | State | Issuer |
---|---|---|---|
1295907137 | NPI | - | NPPES |
1070861 | Medicaid | WA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208D00000X | General Practice | (* (Not Available)) | Primary |