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OLIXN LEE ADAMS D.O.

>> Family Medicine >> Allopathic & Osteopathic Physicians

Registrant NPI Number: 1306006143

Individual Registrant:
 OLIXN LEE ADAMS D.O.
Gender: M
Not Sole Proprietor

Location and contact information for practice:
23400 US HIGHWAY 160  WALSENBURG, CO 81089 US
Tel: 719-738-4590  Fax: 719-738-4553

Contact information for business:
23400 US HIGHWAY 160  WALSENBURG, CO 81089 US
Tel: 719-738-4590  Fax: 719-738-4553

Registration Information:
NPI: 1306006143
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y207Q00000XAllopathic & Osteopathic Physicians
Family Medicine
CO48070

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
CO LICENSE48070CO01




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