Dr AMANDA MADRID is a female medical professional, specializing in Physician Assistant. She graduated in 2016.
UNIVERSITY OF UTAH COMMUNITY PHYSICIANS GROUP
220 MILLPOND
SUITE 100
STANSBURY PARK
UT
840749760
Tel: 4358433000
| Npi | 1164971560 |
| Pac Id | 8022396431 |
| Professional Enrollment Id | I20161104001135 |
| Last Name | MADRID |
| First Name | AMANDA |
| Middle Name | |
| Suffix | |
| Gender | F |
| Credential | |
| Medical School Name | OTHER |
| Graduation Year | 2016 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Secondary Specialty 1 | |
| Secondary Specialty 2 | |
| Secondary Specialty 3 | |
| Secondary Specialty 4 | |
| All Secondary Specialties | |
| Organization Legal Name | UNIVERSITY OF UTAH COMMUNITY PHYSICIANS GROUP |
| Group Practice Pac Id | 9739403569 |
| Number Of Group Practice Members | 189 |
| Line 1 Street Address | 220 MILLPOND |
| Line 2 Street Address | SUITE 100 |
| Marker Of Address Line 2 Suppression | |
| City | STANSBURY PARK |
| State | UT |
| Zip Code | 840749760 |
| Phone Number | 4358433000 |
| Hospital Affiliation Ccn 1 | 460009 |
| Hospital Affiliation Lbn 1 | UNIVERSITY OF UTAH HOSPITALS AND CLINICS |
| Hospital Affiliation Ccn 2 | 460014 |
| Hospital Affiliation Lbn 2 | MOUNTAIN WEST MEDICAL CENTER |
| Hospital Affiliation Ccn 3 | |
| Hospital Affiliation Lbn 3 | |
| Hospital Affiliation Ccn 4 | |
| Hospital Affiliation Lbn 4 | |
| Hospital Affiliation Ccn 5 | |
| Hospital Affiliation Lbn 5 | |
| Professional Accepts Medicare Assignment | Y |
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