Individual provider · NPI-1

Michael Ryan Adams, MD

Family Medicine · Sandy, UT

NPI number1780781682
StatusActive
Last updated in NPPESJul 8, 2007

Details

NPI
1780781682
Entity type
Individual (NPI-1)
Name
Michael Ryan Adams
Credential
MD
Sex
Male
Sole proprietor
No
Enumeration date
Sep 20, 2006
Last updated
Jul 8, 2007

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207Q00000X Family Medicine5401458-1205UTYes

Practice location

7998 South 1300 East
Sandy, UT 84092

Phone 801-215-2000

Mailing address

2639 Chadwick St
Salt Lake City, UT 84106-3505

Phone 801-403-6680

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