Individual
MR. ADRIAN WILLIAM EADS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
2555 QUINCY AVE, OGDEN, UT 84401-2616
(801) 499-9878
Mailing address
2555 QUINCY AVE, OGDEN, UT 84401-2616
(801) 499-9878
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
8680066-4810
UT
Other
Enumeration date
06/05/2013
Last updated
06/05/2013
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