Individual
MORGAN GRACE ROSKELLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1034 N 500 W, PROVO, UT 84604-3380
(801) 357-3367
Mailing address
PO BOX 27128, SALT LAKE CITY, UT 84127-0128
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
11791838-1206
UT
Other
Enumeration date
10/09/2015
Last updated
11/28/2025
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