Individual provider · NPI-1

Tiffany K Adams-Holmes, MD

Family Medicine · Saint Louis, MO

NPI number1780038893
StatusActive
Last updated in NPPESSep 26, 2025

Details

NPI
1780038893
Entity type
Individual (NPI-1)
Name
Tiffany K Adams-Holmes
Credential
MD
Sex
Female
Sole proprietor
No
Enumeration date
Apr 15, 2016
Certification date
Sep 26, 2025
Last updated
Sep 26, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207Q00000X Family Medicine2019024498MOYes
207Q00000X Family Medicine036149125IL

Practice location

11125 Dunn Rd Ste 406
Saint Louis, MO 63136-6132

Phone 314-653-5484

Mailing address

11155 Dunn Rd Ste 406
Saint Louis, MO 63136-6150

Phone 314-653-5484 · Fax 314-953-6960

Other practice locations

11155 Dunn Rd Ste 406
Saint Louis, MO 63136-6150

Phone 314-653-5484 · Fax 314-953-6960

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