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Jamie Coy Grange, PA-C
Medical Physician Assistant in Logan, Utah
NPI 1528438140

Jamie Coy Grange is a Medical Physician Assistant based in Logan, UT and is specialized in Medical. Jamie Coy Grange practices in Logan, UT and has the professional credentials of PA-C. The NPI Number for Jamie Coy Grange is 1528438140 and holds a License No. 95341561206 (Utah).

The current practice location address for Jamie Coy Grange is 2245 N 400 E, Logan, UT and can be reached out via phone at 435-753-7880.

Location: 2245 N 400 E, Logan, UT, 84341
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1528438140
Provider Name
Jamie Coy Grange
Credential
PA-C
Provider Entity Type
Individual
Gender
Female
Address
2245 N 400 E, Logan, UT, 84341
Phone Number
435-753-7880
Fax Number
Provider Enumeration Date
09/25/2015
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
2245 N 400 E
City
Logan
State
Utah
Zip
84341-1892
Phone Number
435-753-7880
Fax Number
person
Provider Business Mailing Address Details
Address
2245 N 400 E
City
Logan
State
Utah
Zip
84341-1892
Phone Number
435-753-7880
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
363AM0700X
License No.
95341561206 (Utah)
Definition
Definition to come...
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