Provider Demographics
NPI:1851563779
Name:TAINTOR, ADAM READ (MD)
Entity Type:Individual
Prefix:DR
First Name:ADAM
Middle Name:READ
Last Name:TAINTOR
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:3860 JACKSON AVE STE 2
Mailing Address - Street 2:
Mailing Address - City:OGDEN
Mailing Address - State:UT
Mailing Address - Zip Code:84403-1979
Mailing Address - Country:US
Mailing Address - Phone:801-627-0515
Mailing Address - Fax:801-627-0517
Practice Address - Street 1:3860 JACKSON AVE STE 2
Practice Address - Street 2:
Practice Address - City:OGDEN
Practice Address - State:UT
Practice Address - Zip Code:84403
Practice Address - Country:US
Practice Address - Phone:801-627-0515
Practice Address - Fax:801-627-0517
Is Sole Proprietor?:No
Enumeration Date:2008-04-01
Last Update Date:2019-09-13
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
UT7890794-1205207NS0135X, 207N00000X
UT7890794.1205207ND0900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatology
No207NS0135XAllopathic & Osteopathic PhysiciansDermatologyProcedural Dermatology
No207ND0900XAllopathic & Osteopathic PhysiciansDermatologyDermatopathology