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NPI Code Detail

MEDICARE: AARON J ADAMS

MEDICARE: AARON J ADAMS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363L00000XNurse Practitioner500919-4405UT

General Provider Information

NPI Number : 1972972883
Entity Type Code : Individual
Provider Name (Legal Business Name) : AARON J ADAMS
Provider Business Mailing Address
First Line : PO BOX 27128
Second Line :
City : SALT LAKE CITY
State : UT
Zip : 84127-0128
Country : US
Telephone Number : 435-251-2740
Fax Number :
Provider Business Practice Location Address
First Line : 4403 HARRISON BLVD STE 3450
Second Line :
City : OGDEN
State : UT
Zip : 84403-3282
Country : US
Telephone Number : 435-251-2740
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/21/2015
Last Update Date : 12/22/2025

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