Individual
ADAM MITCHELL SPIVAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
50 N MEDICAL DR, SALT LAKE CITY, UT 84132-0100
(801) 585-2031
Mailing address
PO BOX 413033, SALT LAKE CITY, UT 84141-3033
(801) 213-3900
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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