Individual
DR. ADRIENE EASTAWAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
30 N 1900 E RM 1A071, SALT LAKE CITY, UT 84132-0002
(801) 581-2121
Mailing address
30 N 1900 E RM 1A071, SALT LAKE CITY, UT 84132-0002
(801) 581-2121
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
10994065-1205
UT
Other
Enumeration date
09/01/2017
Last updated
08/02/2022
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