NPI 1043837404

Madison Rae Groberg

Practitioner Medical Physician Assistant Logan, UT

Practice location

Address: 115 Golf Course Rd STE E, Logan, UT 84321-5934
Phone: (435) 999-4059

Registered specialties (2)

Medical Physician Assistant Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363AM0700X Licence PA-2019 (ID)

Other Physician Assistant providers in Utah →

Physician Assistant

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363A00000X

Registry record

NPI: 1043837404
Entity type: Individual
Sex (as registered): Female
NPI issued: 1 Jul 2020
Record last updated: 29 Apr 2026

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.