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Individual

ADAM MITCHELL SPIVAK

Active
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Individual

ADAM MITCHELL SPIVAK

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
D0063388
MD
207RI0200X
Infectious Disease Physician
Primary
8111343-1205
UT
207RI0200X
Infectious Disease Physician
D0063388
MD

Other

Enumeration date
11/16/2005
Last updated
11/18/2021
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