Doctor Name: | JUSTIN M ADEN |
NPI Number: | 1043432651 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MD |
License Number: | 0116018627 |
Business Practice Address: | 5121 S Cottonwood Street Intermountain Medical Center Murray, UT - 84157 |
Business Phone Number: | 8015075248 |
Business Fax Number: | 8014322668 |
Mailing Address: | 3340 North Center St #800, LEHI |
State: | UT |
Postal Code: | 840437406 |
Phone Number: | 8019901911 |
Fax Number: | 8014322668 |
NPI Enumeration Date: | 05/03/2007 |
NPI Last Update Date: | 10/15/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 390200000X |
License Number: | 0116018627 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | VA |
Taxonomy Type: | Student, Health Care |
Taxonomy Classification: | Student in an Organized Health Care Education/Training Program |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |