Jamie Coy Grange, PA-C

NPI #1528438140 in Logan, Utah

Provider Information

NPI Number
1528438140
Entity Type
Individual
Name
Jamie Coy Grange, PA-C
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Physician Assistant - Medical
Credential
PA-C
Enumeration Date
Sep 25, 2015
Last Updated
Jun 24, 2022

Practice Location

Address
2245 N 400 E
Address 2
STE 301
City
Logan
State
Utah
ZIP Code
84341-1892
Phone
(435) 753-7880

Specialties & Taxonomy Codes

Specialty
Physician Assistant - MedicalMedical

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