Provider Demographics
NPI:1669400677
Name:ADKINS, TERRANCE P (MD)
Entity type:Individual
Prefix:DR
First Name:TERRANCE
Middle Name:P
Last Name:ADKINS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 13627
Mailing Address - Street 2:
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85732-3627
Mailing Address - Country:US
Mailing Address - Phone:520-750-7166
Mailing Address - Fax:520-886-1929
Practice Address - Street 1:1951 N WILMOT RD
Practice Address - Street 2:BUILDING 2
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85712-8000
Practice Address - Country:US
Practice Address - Phone:520-795-5845
Practice Address - Fax:520-795-8620
Is Sole Proprietor?:No
Enumeration Date:2006-06-29
Last Update Date:2010-08-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ24013208600000X, 208C00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208C00000XAllopathic & Osteopathic PhysiciansColon & Rectal Surgery
No208600000XAllopathic & Osteopathic PhysiciansSurgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ203604285OtherUNITED
AZ91783OtherPACIFICARE
AZ2Z3330OtherHEALTH NET
AZ340159-20Medicaid
AZAZ0153640OtherBCBS
AZ107581Medicare ID - Type Unspecified
AZ340159-20Medicaid