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NPI Code Detail

MEDICARE: AUSTIN GRANT ADAMS

MEDICARE: AUSTIN GRANT 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
1390200000XStudent in an Organized Health Care Education/Training ProgramUT

General Provider Information

NPI Number : 1053250944
Entity Type Code : Individual
Provider Name (Legal Business Name) : AUSTIN GRANT ADAMS
Provider Business Mailing Address
First Line : 30 S MARIO CAPECCHI DR # 2
Second Line :
City : SALT LAKE CITY
State : UT
Zip : 84112-5888
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 30 S MARIO CAPECCHI DR # 2
Second Line :
City : SALT LAKE CITY
State : UT
Zip : 84112-5888
Country : US
Telephone Number : 801-581-2417
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/26/2026
Last Update Date : 03/26/2026

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Directions to “ AUSTIN GRANT ADAMS ” Practice Location

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