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ADAM JOHN DEFOE — Medicare Enrolled Provider (PRACTITIONER - INTERVENTIONAL RADIOLOGY, ND)

ADAM JOHN DEFOE — Medicare Enrolled Provider (PRACTITIONER - INTERVENTIONAL RADIOLOGY, ND) is one of 9,000 enrolled providers in the MedicareEnroll dataset. Key details — Name: ADAM JOHN DEFOE; Type: Individual; NPI: 1003044975.

NameADAM JOHN DEFOE
TypeIndividual
NPI1003044975
Provider typePRACTITIONER - INTERVENTIONAL RADIOLOGY
StateND
Enrollment IDI20180226002637
Multiple NPI flagN
SourceCMS Medicare FFS Public Provider Enrollment (PECOS)

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