Mitchell Adams
Individual provider Active NPI Student in an Organized Health Care Education/Training Program · Salt Lake City, UT
NPI 1679260319 · NPPES record last updated Apr 21, 2023
Key facts
- NPI
- 1679260319
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Student in an Organized Health Care Education/Training Program 390200000X
- Practice address
- 27 S Mario Capecchi Dr
Salt Lake City, UT 84112-5888 - Phone
- (801) 703-1439
- NPI assigned
- Apr 21, 2023
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | Yes |
Addresses
Primary practice location
27 S Mario Capecchi Dr
Salt Lake City, UT 84112-5888
Mailing address
27 S Mario Capecchi Dr
Salt Lake City, UT 84112-5888
Phone (801) 703-1439
Other providers in Salt Lake City, UT
- Lindsay Adams
- Madison Adams
- Marsha Lee Adams
- Matthew S Adams
- Michelle Adams
- Monica Adams
- Nathan G Adams
- Patrick L. Adams
- Roberta Lyn Adams
- Roger J Adams
All providers in Salt Lake City, UT · Student in an Organized Health Care Education/Training Program in Utah
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 21, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.