Individual provider · NPI-1

Dr. Brenda J Adams, MD

Family Medicine · Meridian, ID

NPI number1205887288
StatusActive
Last updated in NPPESAug 18, 2012

Details

NPI
1205887288
Entity type
Individual (NPI-1)
Name
Dr. Brenda J Adams
Credential
MD
Sex
Female
Sole proprietor
No
Enumeration date
May 13, 2006
Last updated
Aug 18, 2012

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207Q00000X Family MedicineM- 5264IDYes

Practice location

3090 E Gentry Way
Suite 200
Meridian, ID 83642-3501

Phone 208-887-6813 · Fax 208-887-6884

Mailing address

190 E Bannock St
Boise, ID 83712-6241

Phone 208-887-6813 · Fax 208-887-6884

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