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Individual
DR. MICHAEL DEAN ADAMS
Active
Individual
DR. MICHAEL DEAN ADAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
181920-8905
UT
207Q00000X
Family Medicine Physician
Primary
4371-A
WY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0004116106
AETNA
—
01
—
02902001
BLUECROSS/BLUESHIELD CLIN
WY
01
—
080014492
RAILROAD MEDICARE
—
05
—
103977600
—
WY
01
—
53D0977203
CLIA NUMBER
WY
01
—
C12604
UPIN
—
Enumeration date
06/30/2005
Last updated
06/13/2019
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