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Contact Information

MICHAEL M ADAM, MD
1055 N 500 W STE 112
PROVO, UT84604-3305
 Phone: 801-812-4624
 Fax: 801-812-4699
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Vascular & Interventional Radiology

2085R0204X 94 Physician/Interventional Radiology
Indicates primary specialty

NPI Profile & details for MICHAEL M ADAM · (Male)

NPI # 1740608272
Status Active
Credentials MD
Entity Individual
Enumeration date 04/02/2014
Last updated 04/20/2026 - About 2 months ago
Sole proprietor 1 No
Identifiers
  • MO License # 2019009760
  • UT License # 11685099-1205
Hospital affiliation(s)
  • JORDAN VALLEY MEDICAL CENTER - (Acute Care)
    3580 WEST 9000 SOUTH
    WEST JORDAN, UT 84088
  • MOUNTAIN VIEW HOSPITAL - (Acute Care)
    1000 EAST 100 NORTH
    PAYSON, UT 84651
  • TIMPANOGOS REGIONAL HOSPITAL - (Acute Care)
    750 WEST 800 NORTH
    OREM, UT 84057
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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