MS. Madeline Grainger, PA-C, MPAS

NPI #1831649508 in Salt Lake City, Utah

Provider Information

NPI Number: 1831649508
Entity Type: Individual
Name: MS. Madeline Grainger, PA-C, MPAS
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA-C, MPAS
Enumeration Date: Oct 6, 2016
Last Updated: Sep 24, 2021

Practice Location

Address: 743 EAST 300 SOUTH
City: Salt Lake City
State: Utah
ZIP Code: 84102
Phone: (801) 428-3500

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Technician, Other	247200000X
Physician Assistant	363A00000X	Primary

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