Individual provider · Type 1 NPI

Martha P. Mandujano, PA-C

Physician Assistant · Salt Lake City, UT

NPI number 1356446215 Active

Practice location

4745 S 3200 W
Salt Lake City, UT 84118-2822

Call (801) 964-6214 Map

Fax (801) 982-9232

Mailing address

3536 S 1100 E
Salt Lake City, UT 84106-2451

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000X6028041-1206 (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 1356446215

Martha P. Mandujano, PA-C's National Provider Identifier is 1356446215, issued on Sep 14, 2006. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Salt Lake City, UT. The record was last updated on Nov 20, 2021.