IndividualActive
Adelaide Slack, MD
NPI 1275822918 · Family Medicine Physician · Salt Lake City, UT
Provider details
- NPI number
- 1275822918
- Entity type
- Individual
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Female
- Sole proprietor
- No
- License
- 51664 (CO)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Practice location
1388 S Navajo St
Suite C
Salt Lake City, UT 84104-3493
Phone: (801) 955-2360
Fax: (801) 982-9232
Approximate (ZIP-level) locationGet directions
Mailing address
4745 S 3200 W
Taylorsville, UT 84129-2822
Registry dates
- Enumerated
- 2011-04-04
- Last updated
- 2015-08-03
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.