Individual provider · Type 1 NPI

Montana Wynn Gubrud, PA-S

Physician Assistant · Murray, UT

NPI number 1609404409 Active

Practice location

5911 S Fashion Blvd Ste 200
Murray, UT 84107-7210

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000X14289197-1206 (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 1609404409

Montana Wynn Gubrud, PA-S's National Provider Identifier is 1609404409, issued on Mar 29, 2020. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Murray, UT. The record was last updated on Aug 18, 2026.