Individual
DR. ADAM NEBEKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2075 N 1200 W, LAYTON, UT 84041-1616
(801) 779-6200
(801) 779-6294
Mailing address
PO BOX 27128, SALT LAKE CITY, UT 84127-0128
(801) 779-6200
(801) 779-6294
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
53506641205
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1467597005
—
UT
01
—
P00649129
RRMCR
UT
Enumeration date
07/07/2005
Last updated
06/30/2009
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