NPI Search for Physicians and Health Care Providers
MR. DALE BRENT ADAMS
>> Contractor >> Other Service ProvidersRegistrant NPI Number: 1932359478
Individual Registrant:
MR. DALE BRENT ADAMS
Gender: M
Sole Proprietor
Location and contact information for practice:
2313 ANVIL DR HARRISON, AR 72601-8687 US
Tel: 870-391-2231 Fax: --
Contact information for business:
2313 ANVIL DR HARRISON, AR 72601-8687 US
Tel: 870-391-2231 Fax: --
Registration Information:
NPI: 1932359478
Entity Type: Individual
Specialty information:
Primary | Code | Category/Description | State | License Number |
---|
Y | 171W00000X | Other Service Providers Contractor
| | |
N | 302F00000X | Managed Care Organizations Exclusive Provider Organization | AR | |
Legacy codes, insurance codes and state license numbers:
Issuer | Number | State | Type |
---|
| 169609784 | AR | 05 |
HEALTH CARE JOBS AR - Page 1