Provider Demographics
NPI:1922859131
Name:ADAMS, VIRGINIA SUE
Entity Type:Individual
Prefix:
First Name:VIRGINIA
Middle Name:SUE
Last Name:ADAMS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:VIRGINIA
Other - Middle Name:SUE
Other - Last Name:HOCH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2327 N 8TH ST
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85006-1611
Mailing Address - Country:US
Mailing Address - Phone:360-901-4818
Mailing Address - Fax:
Practice Address - Street 1:1121 S 3RD AVE
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85003-2614
Practice Address - Country:US
Practice Address - Phone:602-257-3902
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-03-27
Last Update Date:2024-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171W00000XOther Service ProvidersContractor