Provider Demographics
NPI:1821710666
Name:ADEPT MEDICAL
Entity Type:Organization
Organization Name:ADEPT MEDICAL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MICHELLE
Authorized Official - Middle Name:
Authorized Official - Last Name:WILLIAMS
Authorized Official - Suffix:
Authorized Official - Credentials:NP
Authorized Official - Phone:801-833-0956
Mailing Address - Street 1:1083 W PHEASANT TAIL DR
Mailing Address - Street 2:
Mailing Address - City:BLUFFDALE
Mailing Address - State:UT
Mailing Address - Zip Code:84065-5616
Mailing Address - Country:US
Mailing Address - Phone:801-833-0956
Mailing Address - Fax:888-498-3312
Practice Address - Street 1:1083 W PHEASANT TAIL DR
Practice Address - Street 2:
Practice Address - City:BLUFFDALE
Practice Address - State:UT
Practice Address - Zip Code:84065-5616
Practice Address - Country:US
Practice Address - Phone:801-755-8195
Practice Address - Fax:888-498-3312
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-09-19
Last Update Date:2023-08-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Single Specialty