Individual provider · Type 1 NPI

Garrison Douglas Beach, PA

Physician Assistant · Roosevelt, UT

NPI number 1114842788 Active

Practice location

250 W 300 N
Roosevelt, UT 84066-2351

Call (435) 722-4691 Map

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000XNone listed

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 1114842788

Garrison Douglas Beach, PA's National Provider Identifier is 1114842788, issued on Aug 12, 2026. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Roosevelt, UT. The record was last updated on Aug 12, 2026.