Provider Demographics
NPI:1275663189
Name:ADAMS, WARREN JAMES (MD)
Entity Type:Individual
Prefix:
First Name:WARREN
Middle Name:JAMES
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 1:801 WEST FIFTH AVENUE
Mailing Address - Street 2:SUITE 304
Mailing Address - City:SPOKANE
Mailing Address - State:WA
Mailing Address - Zip Code:99204-2800
Mailing Address - Country:US
Mailing Address - Phone:509-455-5935
Mailing Address - Fax:509-455-5941
Practice Address - Street 1:801 WEST FIFTH AVENUE
Practice Address - Street 2:SUITE 304
Practice Address - City:SPOKANE
Practice Address - State:WA
Practice Address - Zip Code:99204-2800
Practice Address - Country:US
Practice Address - Phone:509-455-5935
Practice Address - Fax:509-455-5941
Is Sole Proprietor?:No
Enumeration Date:2007-03-07
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMD0017679207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA0018789OtherDEPT OF JUSTICE AND INDUS
WA1011675Medicaid
WA1011675Medicaid