Individual provider · NPI-1

Thomas Glenn Adair, PA-C

Physician Assistant · Fresno, CA

NPI number1780650028
StatusActive
Last updated in NPPESJun 19, 2008

Details

NPI
1780650028
Entity type
Individual (NPI-1)
Name
Mr. Thomas Glenn Adair
Credential
PA-C
Sex
Male
Sole proprietor
No
Enumeration date
Feb 27, 2006
Last updated
Jun 19, 2008

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363A00000X Physician AssistantPA11232CAYes

Practice location

5160 N Fresno St
Fresno, CA 93710-6825

Phone 559-320-2667

Mailing address

5160 N Fresno St
Fresno, CA 93710-6825

Phone 559-320-2667

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