Provider Demographics
NPI:1811975998
Name:ADAMS, REX (MD)
Entity type:Individual
Prefix:
First Name:REX
Middle Name:
Last Name:ADAMS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:6630 S MCCARRAN BLVD
Mailing Address - Street 2:BLDG. C-206
Mailing Address - City:RENO
Mailing Address - State:NV
Mailing Address - Zip Code:89509-6135
Mailing Address - Country:US
Mailing Address - Phone:775-828-1400
Mailing Address - Fax:775-828-1404
Practice Address - Street 1:6630 S MCCARRAN BLVD
Practice Address - Street 2:BLDG. C-206
Practice Address - City:RENO
Practice Address - State:NV
Practice Address - Zip Code:89509-6135
Practice Address - Country:US
Practice Address - Phone:775-828-1400
Practice Address - Fax:775-828-1404
Is Sole Proprietor?:Yes
Enumeration Date:2006-01-09
Last Update Date:2008-02-14
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NV12167207RR0500X
CAA35762207RR0500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RR0500XAllopathic & Osteopathic PhysiciansInternal MedicineRheumatology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00A357620Medicaid
CA00A357620Medicaid
CA00A357620Medicare ID - Type Unspecified