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Contact Information

MADELINE GRAINGER, PA-C, MPAS
743 EAST 300 SOUTH
SALT LAKE CITY, UT84102
 Phone: 801-428-3500
 Fax: 385-227-8362
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physician Assistant

363A00000X 97 Physician Assistant
 

Technician, Other

247200000X 75 Slide Preparation Facility
Indicates primary specialty

NPI Profile & details for MADELINE GRAINGER · (Female)

NPI Number 1831649508
Status Active
Credentials PA-C, MPAS
Entity Individual
Enumeration date 10/06/2016
Last updated 09/24/2021 - About 5 years ago
Sole proprietor 1 No
Identifiers
  • UT License # 12364386-1206
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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