Provider Demographics
NPI:1467664821
Name:JOHN A. ADAMS, M.D., P.S.
Entity Type:Organization
Organization Name:JOHN A. ADAMS, M.D., P.S.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:ANTHONY
Authorized Official - Last Name:ADAMS
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:509-838-6066
Mailing Address - Street 1:530 S COWLEY ST
Mailing Address - Street 2:SUITE 180
Mailing Address - City:SPOKANE
Mailing Address - State:WA
Mailing Address - Zip Code:99202-1316
Mailing Address - Country:US
Mailing Address - Phone:509-838-6066
Mailing Address - Fax:509-623-1413
Practice Address - Street 1:530 S COWLEY ST
Practice Address - Street 2:SUITE 180
Practice Address - City:SPOKANE
Practice Address - State:WA
Practice Address - Zip Code:99202-1316
Practice Address - Country:US
Practice Address - Phone:509-838-6066
Practice Address - Fax:509-623-1413
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-05
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2086S0122XAllopathic & Osteopathic PhysiciansSurgeryPlastic and Reconstructive SurgeryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA0017217OtherLABOR & INDUSTRIES