Provider Demographics
NPI:1689363392
Name:ADAMS, CYNTHIA (MA, PRACTIONER)
Entity Type:Individual
Prefix:
First Name:CYNTHIA
Middle Name:
Last Name:ADAMS
Suffix:
Gender:F
Credentials:MA, PRACTIONER
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:19437 N 67TH DR
Mailing Address - Street 2:
Mailing Address - City:GLENDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85308-5510
Mailing Address - Country:US
Mailing Address - Phone:602-642-3762
Mailing Address - Fax:623-440-3504
Practice Address - Street 1:5721 W BELL RD
Practice Address - Street 2:STE. 25
Practice Address - City:GLENDALE
Practice Address - State:AZ
Practice Address - Zip Code:85308
Practice Address - Country:US
Practice Address - Phone:602-642-3762
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-05-08
Last Update Date:2023-05-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM1300XAmbulatory Health Care FacilitiesClinic/CenterMulti-Specialty