Individual provider · NPI-1

Dr. Michael Dean Adams, M.D.

Family Medicine · Evanston, WY

NPI number1922005347

StatusActive

Last updated in NPPESJun 13, 2019

Details

NPI: 1922005347
Entity type: Individual (NPI-1)
Name: Dr. Michael Dean Adams
Credential: M.D.
Sex: Male
Sole proprietor: No
Enumeration date: Jun 30, 2005
Last updated: Jun 13, 2019

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
207Q00000X	Family Medicine	4371-A	WY	Yes
207Q00000X	Family Medicine	181920-8905	UT

Practice location

75 Yellow Creek Rd
Suite 102
Evanston, WY 82930-5235

Phone 307-789-8290 · Fax 307-789-8975

Mailing address

75 Yellow Creek Rd
Suite 102
Evanston, WY 82930-5235

Phone 307-789-8290 · Fax 307-789-8975

Other practice locations

1515 N 400 E Ste 104
North Logan, UT 84341-7595

Phone 435-755-6061 · Fax 435-755-6091

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