Organization · NPI-2
Adams Plastic Surgery, PC
Surgery, Surgery of the Hand · Farmington, NM
NPI number1417209792
StatusActive
Last updated in NPPESJan 16, 2024
Details
- NPI
- 1417209792
- Entity type
- Organization (NPI-2)
- Legal business name
- Adams Plastic Surgery, PC
- Organization subpart
- No
- Enumeration date
- Oct 10, 2012
- Certification date
- Jan 16, 2024
- Last updated
- Jan 16, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2086S0105X | Surgery, Surgery of the Hand | – | – | Yes |
| 2086S0122X | Surgery, Plastic and Reconstructive Surgery | – | – |
Other names
- Jason P Adams, DO (Doing Business As)
Practice location
2700 Farmignton AveBuilding I-A
Farmington, NM 87401
Phone 505-675-7070 · Fax 505-675-2757
Mailing address
2700 Farmington Ave Bldg I-AFarmington, NM 87401-4570
Phone 505-675-7070 · Fax 505-675-2757
Authorized official
Jason P Adams
Owner/Operator
5056757070
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