Individual
GRANT MICHAEL THOMSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
5334 S WOODROW ST STE 100, MURRAY, UT 84107-5838
(801) 713-0600
(801) 713-0601
Mailing address
5334 S WOODROW ST STE 100, MURRAY, UT 84107-5838
(801) 713-0600
(801) 713-0601
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
14247549-1206
UT
363A00000X
Physician Assistant
Primary
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/24/2025
Last updated
04/28/2026
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