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Individual

DR. ADAM KIMBALL BEVAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D., PH.D.

Contact information

Practice address
1055 N 300 W STE 400, PROVO, UT 84604-3359
(801) 357-7404
(801) 357-7587
Mailing address
1055 N 300 W STE 400, PROVO, UT 84604-3359
(801) 357-7404
(801) 357-7587

Taxonomy

Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
12335173-1205
UT
207T00000X
Neurological Surgery Physician
2014019153
MO

Other

Enumeration date
07/01/2014
Last updated
07/29/2021
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