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Individual

HEATHER GROTE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA

Contact information

Practice address
5373 S GREEN ST STE 400, MURRAY, UT 84123-4740
(801) 442-5502
Mailing address
PO BOX 27128, SALT LAKE CITY, UT 84127-0128

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
13002848-1206
UT
363A00000X
Physician Assistant
PA-1280
ID
363A00000X
Physician Assistant
TLP-054
ID
363AM0700X
Medical Physician Assistant
PA-1280
ID

Other

Enumeration date
09/01/2015
Last updated
02/08/2024
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