MS. Amanda Madrid, PA-C

NPI #1164971560 in Stansbury Park, Utah

Provider Information

NPI Number: 1164971560
Entity Type: Individual
Name: MS. Amanda Madrid, PA-C
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Physician Assistant
Credential: PA-C
Enumeration Date: Sep 26, 2016
Last Updated: Nov 18, 2021

Practice Location

Address: 220 MILLPOND
City: Stansbury Park
State: Utah
ZIP Code: 84074-9745
Phone: (435) 843-3096

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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