Basic Information
| Provider Information | |||||||||
| NPI: | 1760720171 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | ADAMS | ||||||||
| FirstName: | MICHAEL | ||||||||
| MiddleName: | ANDREW | ||||||||
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| Credential: | M.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 9040 FITZSIMMONS DRIVE | ||||||||
| Address2: | DEPARTMENT OF ANESTHESIA AND OPERATIVE SERVICES | ||||||||
| City: | TACOMA | ||||||||
| State: | WA | ||||||||
| PostalCode: | 984310000 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2539682235 | ||||||||
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| Practice Location | |||||||||
| Address1: | 9040 FITZSIMMONS DRIVE | ||||||||
| Address2: | DEPARTMENT OF ANESTHESIA AND OPERATIVE SERVICES | ||||||||
| City: | TACOMA | ||||||||
| State: | WA | ||||||||
| PostalCode: | 984310000 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2539682235 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 01/18/2013 | ||||||||
| LastUpdateDate: | 01/18/2013 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207L00000X | 010124417 | VA | Y | Allopathic & Osteopathic Physicians | Anesthesiology |
No ID Information.