Individual
ADRIENNE MCMASTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2380 N 400 E STE B, LOGAN, UT 84341-1756
(435) 752-5741
Mailing address
274 N MAIN ST, LOGAN, UT 84321-3915
(435) 753-1600
(435) 753-9521
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
4985108-1206
UT
363AM0700X
Medical Physician Assistant
4985108-1206
UT
Other
Enumeration date
11/02/2007
Last updated
11/20/2021
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