Doctor Name: | MARK C ADAMS |
NPI Number: | 1043202450 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MD |
License Number: | MD00019557 |
Business Practice Address: | 1225 Campbell Way Suite 101 Bremerton, WA - 983103351 |
Business Phone Number: | 3604794203 |
Business Fax Number: | 3604787240 |
Mailing Address: | 1225 Campbell Way, Suite 101 BREMERTON |
State: | WA |
Postal Code: | 983103351 |
Phone Number: | 3604794203 |
Fax Number: | 3604787240 |
NPI Enumeration Date: | 08/22/2005 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2086S0129X |
License Number: | MD00019557 |
Healthcare Provider Taxonomy: (Secondary) | X |
State: | WA |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Surgery |
Taxonomy Specialization: | Vascular Surgery |
Taxonomy Definition: | A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. |