Doctor Name: | JARED RING ADAMS |
NPI Number: | 1578880878 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D., PH.D. |
License Number: | A119102 |
Business Practice Address: | 1546 Baker St San Francisco, CA - 941152909 |
Business Phone Number: | 4154885573 |
Business Fax Number: | |
Mailing Address: | 1546 Baker St, SAN FRANCISCO |
State: | CA |
Postal Code: | 941152909 |
Phone Number: | 4154885573 |
Fax Number: | |
NPI Enumeration Date: | 04/26/2010 |
NPI Last Update Date: | 09/17/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | A119102 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |