Individual provider · NPI-1

Dr. Jason Phillip Adams, D.O.

Surgery, Plastic and Reconstructive Surgery · Farmington, NM

NPI number1255536686
StatusActive
Last updated in NPPESDec 13, 2023

Details

NPI
1255536686
Entity type
Individual (NPI-1)
Name
Dr. Jason Phillip Adams
Credential
D.O.
Sex
Male
Sole proprietor
Yes
Enumeration date
Jun 16, 2007
Certification date
Dec 13, 2023
Last updated
Dec 13, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
2086S0122X Surgery, Plastic and Reconstructive SurgeryA-1678-12NMYes
208200000X Plastic Surgery239282NY
208600000X Surgery239282NY

Practice location

2700 Farmington Ave Bldg I-A
Farmington, NM 87401-4570

Phone 505-675-7070 · Fax 505-675-2757

Mailing address

2700 Farmington Ave Bldg I-A
Farmington, NM 87401-4570

Phone 505-675-7070 · Fax 505-675-2757

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