MEDICARE: MADISON MEYERS CARTE PA-C

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363AS0400X	Surgical Physician Assistant	8447716-1206	UT

General Provider Information

NPI Number	:	1992058572
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MADISON MEYERS CARTE PA-C

Provider Business Mailing Address
First Line	:	1046 E 100 S
Second Line	:
City	:	SALT LAKE CITY
State	:	UT
Zip	:	84102-1520
Country	:	US
Telephone Number	:	801-746-2885
Fax Number	:	801-746-2886

Provider Business Practice Location Address
First Line	:	1046 E 100 S
Second Line	:
City	:	SALT LAKE CITY
State	:	UT
Zip	:	84102-1520
Country	:	US
Telephone Number	:	801-746-2885
Fax Number	:	801-746-2886

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/19/2012
Last Update Date	:	03/15/2023

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