Individual
MR. ROMAN K MADSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-S
Contact information
Practice address
625 N PLAZA DR, APACHE JUNCTION, AZ 85120-5501
(480) 278-3374
Mailing address
1185 W 1140 N, PROVO, UT 84604-3011
(480) 278-3374
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
6220
AZ
Other
Enumeration date
10/06/2014
Last updated
12/14/2015
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