Individual provider · NPI-1

Dr. Charles Adams, DO

Student in an Organized Health Care Education/Training Program · Santa Fe, NM

NPI number1316733728
StatusActive
Last updated in NPPESMay 22, 2026

Details

NPI
1316733728
Entity type
Individual (NPI-1)
Name
Dr. Charles Adams
Credential
DO
Sex
Male
Sole proprietor
Yes
Enumeration date
Apr 15, 2025
Certification date
May 22, 2026
Last updated
May 22, 2026

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
390200000X Student in an Organized Health Care Education/Training Program–NMYes

Other names

  • Claire Mallory Adams (Former Name)

Practice location

490a W Zia Rd Ste 100
Santa Fe, NM 87505-7007

Phone 505-913-5602

Mailing address

490a W Zia Rd Ste 100
Santa Fe, NM 87505-7007

Phone 505-913-5602

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