Provider Demographics
NPI:1265659239
Name:ADAMS, JEFFREY SCOT (MD)
Entity Type:Individual
Prefix:
First Name:JEFFREY
Middle Name:SCOT
Last Name:ADAMS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2230 N RESERVE ST
Mailing Address - Street 2:
Mailing Address - City:MISSOULA
Mailing Address - State:MT
Mailing Address - Zip Code:59808-1321
Mailing Address - Country:US
Mailing Address - Phone:406-721-0533
Mailing Address - Fax:406-728-4463
Practice Address - Street 1:2230 N RESERVE ST
Practice Address - Street 2:
Practice Address - City:MISSOULA
Practice Address - State:MT
Practice Address - Zip Code:59808-1321
Practice Address - Country:US
Practice Address - Phone:406-721-0533
Practice Address - Fax:406-728-4463
Is Sole Proprietor?:No
Enumeration Date:2007-04-19
Last Update Date:2011-04-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MT8210207QA0505X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207QA0505XAllopathic & Osteopathic PhysiciansFamily MedicineAdult Medicine