Individual provider · NPI-1

Jared M Adams, MD

Family Medicine · Oklahoma City, OK

NPI number1184889446
StatusActive
Last updated in NPPESAug 4, 2023

Details

NPI
1184889446
Entity type
Individual (NPI-1)
Name
Jared M Adams
Credential
MD
Sex
Male
Sole proprietor
No
Enumeration date
Jul 25, 2008
Certification date
Aug 4, 2023
Last updated
Aug 4, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207Q00000X Family Medicine28056OKYes
207Q00000X Family MedicineTEP5937NE

Practice location

12301 S Western Ave Ste A1
Oklahoma City, OK 73170-6085

Phone 405-254-7529 · Fax 405-254-7587

Mailing address

601 S Harbour Island Blvd Ste 200
Tampa, FL 33602-5925

Phone 800-480-5243 · Fax 800-928-7449

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