Provider Demographics
NPI:1770545642
Name:FRENCH, ADRIENNE MANON (MD)
Entity type:Individual
Prefix:DR
First Name:ADRIENNE
Middle Name:MANON
Last Name:FRENCH
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:1650 COCHRANE CIR BLDG 7505
Mailing Address - Street 2:
Mailing Address - City:FORT CARSON
Mailing Address - State:CO
Mailing Address - Zip Code:80913-4604
Mailing Address - Country:US
Mailing Address - Phone:719-526-7273
Mailing Address - Fax:
Practice Address - Street 1:1626 OCONNELL BLVD BLDG 813
Practice Address - Street 2:
Practice Address - City:FORT CARSON
Practice Address - State:CO
Practice Address - Zip Code:80913-4060
Practice Address - Country:US
Practice Address - Phone:719-526-7273
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-04-05
Last Update Date:2023-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA60714207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAH29149Medicare UPIN