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Individual

ROSS MITCHELL ADAMS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1355 N UNIVERSITY AVE, #210, PROVO, UT 84604-2721
(801) 373-8930
(801) 377-6811
Mailing address
1355 N UNIVERSITY AVE, #210, PROVO, UT 84604-2721
(801) 373-8930
(801) 377-6811

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
264091-1204
UT

Other

Enumeration date
05/04/2006
Last updated
08/12/2011
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