Individual provider · Type 1 NPI
Madison Rae Groberg
Medical Physician Assistant · Logan, UT
NPI number
1043837404
Active
Practice location
115 Golf Course Rd Ste E
Logan, UT 84321-5934
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Physician Assistant | 363A00000X | None listed |
| Medical Physician Assistant Primary | 363AM0700X | PA-2019 (ID) |
Medical Physician Assistant: Definition to come...
14 other providers at this address
- Martin Medical Group LLCPhysician Assistant Logan, UT NPI 1467081448
- Allie Leezer, CSWCounselor Logan, UT NPI 1659137156
- Ashley Elizabeth Peterson, FNP-BCFamily Nurse Practitioner Logan, UT NPI 1720750615
- Bethany Anne Allred, CSWClinical Social Worker Logan, UT NPI 1588274898
- Colby Martin, PAPhysician Assistant Logan, UT NPI 1982033098
- Erin L. WimmerSocial Worker Logan, UT NPI 1902658339
- Garrett Ryan Gundry, PA-CMedical Physician Assistant Logan, UT NPI 1407373640
- Kaimbre WurstenClinical Social Worker Logan, UT NPI 1275386534
- Kalisitiane UluaveClinical Social Worker Logan, UT NPI 1568034965
- Kierra GibbonsClinical Social Worker Logan, UT NPI 1720600703
- Lydia Harris, CSWSocial Worker Logan, UT NPI 1750247672
- Melissa De Leon MasonClinical Social Worker Logan, UT NPI 1205686862
Other medical physician assistant providers in Logan
- Marc Lawson, P.A.-CMedical Physician Assistant Logan, UT NPI 1285756825
- Brandon D. Durfee, PA-CMedical Physician Assistant Logan, UT NPI 1386946838
- Garrett Ryan Gundry, PA-CMedical Physician Assistant Logan, UT NPI 1407373640
- Jamie Coy Grange, PA-CMedical Physician Assistant Logan, UT NPI 1528438140
- Steven Eugene Nickman, PA-CMedical Physician Assistant Logan, UT NPI 1669459301
- Kenneth Alan Wade, P.AMedical Physician Assistant Logan, UT NPI 1699826149
- Bradley Curtis Bybee, PA-CMedical Physician Assistant Logan, UT NPI 1770034761
- Brent Pitcher, PA-CMedical Physician Assistant Logan, UT NPI 1881876860
About NPI 1043837404
Madison Rae Groberg's National Provider Identifier is 1043837404, issued on Jul 1, 2020. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Logan, UT. The record was last updated on Apr 29, 2026.