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Contact Information

TRACY ADAMS, DO
777 N RAYMOND ST
BOISE, ID83704-9251
 Phone: 208-514-2500
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family Medicine

207Q00000X 08 Physician/Family Practice
Indicates primary specialty

NPI Profile & details for TRACY ADAMS · (Male)

NPI # 1003438730
Status Active
Credentials DO (Doctor of Osteopathic)
Entity Individual
Enumeration date 05/15/2020
Last updated 05/15/2020 - About 6 years ago
Sole proprietor 1 No
Identifiers
  • ID License # MRO-1915
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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