| Doctor Name: | ADRIENNE MCMASTER |
| NPI Number: | 1003095373 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PA-C |
| License Number: | 4985108-1206 |
| Business Practice Address: | 2380 N 400 E Ste B Logan, UT - 843411756 |
| Business Phone Number: | 4357525741 |
| Business Fax Number: | |
| Mailing Address: | 274 N Main St, LOGAN |
| State: | UT |
| Postal Code: | 843213915 |
| Phone Number: | 4357531600 |
| Fax Number: | 4357539521 |
| NPI Enumeration Date: | 11/02/2007 |
| NPI Last Update Date: | 04/10/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363AM0700X |
| License Number: | 4985108-1206 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | UT |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Physician Assistant |
| Taxonomy Specialization: | Medical |
| Taxonomy Definition: | |