| Doctor Name: | DR. ADAM JOHN DEFOE |
| NPI Number: | 1003044975 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | M.D. |
| License Number: | 6235 |
| Business Practice Address: | 988102 Nebraska Medical Ctr Omaha, NE - 681988102 |
| Business Phone Number: | 4025591010 |
| Business Fax Number: | 4025599586 |
| Mailing Address: | 988102 Nebraska Medical Ctr, OMAHA |
| State: | NE |
| Postal Code: | 681988102 |
| Phone Number: | 4025591010 |
| Fax Number: | 4025599586 |
| NPI Enumeration Date: | 06/30/2009 |
| NPI Last Update Date: | 08/06/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 2085R0202X |
| License Number: | 6235 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | NE |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Radiology |
| Taxonomy Specialization: | Diagnostic Radiology |
| Taxonomy Definition: | A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |