Individual provider · Type 1 NPI

Madisen Jo Affleck, PA-C

Physician Assistant · Ogden, UT

NPI number 1083376701 Active

Practice location

4403 Harrison Blvd Ste 2600
Ogden, UT 84403-3277

Call (801) 378-7450 Map

Mailing address

PO Box 27128
Salt Lake City, UT 84127-0128

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000X14219864-1206 (UT)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1083376701

Madisen Jo Affleck, PA-C's National Provider Identifier is 1083376701, issued on Oct 11, 2021. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Ogden, UT. The record was last updated on Feb 6, 2026.