Madison Rae Groberg

NPI #1043837404 in Ammon, Idaho

Provider Information

NPI Number
1043837404
Entity Type
Individual
Name
Madison Rae Groberg
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Physician Assistant - Medical
Enumeration Date
Jul 1, 2020
Last Updated
May 9, 2025

Practice Location

Address
2705 E 17TH ST
City
Ammon
State
Idaho
ZIP Code
83406-6601
Phone
(208) 346-7500

Specialties & Taxonomy Codes

Specialty
Physician Assistant
Physician Assistant - MedicalMedical

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