Individual provider · NPI-1
Raymond Adams, M.D.
Family Medicine · Fort Washakie, WY
NPI number1265577134
StatusActive
Last updated in NPPESNov 17, 2011
Details
- NPI
- 1265577134
- Entity type
- Individual (NPI-1)
- Name
- Raymond Adams
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Feb 20, 2007
- Last updated
- Nov 17, 2011
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | 8333A | WY | Yes |
Practice location
29 Black Coal DrFort Washakie, WY 82514-0128
Phone 307-332-7300
Mailing address
Po Box 128Fort Washakie, WY 82514-0128
Phone 307-332-7300
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