Provider Demographics
NPI:1053391177
Name:SECORY, ADAM JON (DO)
Entity type:Individual
Prefix:DR
First Name:ADAM
Middle Name:JON
Last Name:SECORY
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
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Mailing Address - Street 1:PO BOX 424
Mailing Address - Street 2:
Mailing Address - City:DES MOINES
Mailing Address - State:IA
Mailing Address - Zip Code:50302-0424
Mailing Address - Country:US
Mailing Address - Phone:515-875-9925
Mailing Address - Fax:515-875-9223
Practice Address - Street 1:1025 SE TALLGRASS LANE STE 260
Practice Address - Street 2:
Practice Address - City:WAUKEE
Practice Address - State:IA
Practice Address - Zip Code:50263
Practice Address - Country:US
Practice Address - Phone:515-875-9420
Practice Address - Fax:515-875-8201
Is Sole Proprietor?:No
Enumeration Date:2006-01-17
Last Update Date:2024-02-20
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
IADO-03870208000000X
IA3870208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics