Taxonomy Code 363AS0400X(363as0400x)
Surgical Physician Assistant. Providers: 2

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Surgical Physician Assistant Providers

NPI Name Type Address

1649244120

PA Leslie Madore

Individual

9720 South 1300 East

Suite E230

Sandy, UT

1093777047

PA-C Bryan A Clark

Individual

9844 S 1300 E

Ste 275

Sandy, UT

How to obtain, renew, or terminate an NPI

Every health care provider, whether it’s a hospital, pharmacy, or individual specialist, must obtain their own NPI number. This identification number is unique and is assigned upon application. In tod...

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Taxonomy Code 363AS0400X
Specialization Surgical
Display Name Surgical Physician Assistant
Taxonomy Group Physician Assistants & Advanced Practice Nursing Providers
Taxonomy Classification Physician Assistant
Definition Definition to come...
Effective Date September 30, 2009
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Physician Assistant Codes

Medical Physician Assistant

363AM0700X • providers: 36,490

Physician Assistant

363A00000X • providers: 122,072