Individual provider · Type 1 NPI

Jean Grose

Medical Physician Assistant · Salt Lake City, UT

NPI number 1871003285 Active

Practice location

30 N 1900 E Rm 4A100
Salt Lake City, UT 84132-0002

Call (801) 585-7676 Map

Mailing address

3673 S 805 E Apt 1
Salt Lake City, UT 84106-4637

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant 363A00000X10491953-1206 (UT)
Medical Physician Assistant Primary 363AM0700X10491953-1206 (UT)

Medical Physician Assistant: Definition to come...

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About NPI 1871003285

Jean Grose's National Provider Identifier is 1871003285, issued on Oct 11, 2017. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Salt Lake City, UT. The record was last updated on Nov 2, 2021.