Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MS. MARY ELISABETH GOLUB
Active Sole ProprietorMS. MARY ELISABETH GOLUB is a Physician Assistant healthcare provider located in SOUTH JORDAN, Utah. NPI 1477203644 is currently active in the NPPES registry. Verify at CMS.
Physician Assistant · SOUTH JORDAN, UT
Registration Details
- NPI Number
- 1477203644
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Mar 28, 2022 (4.3367861085249 yrs)
- Last Updated
- Dec 4, 2025
- License
-
14184873-1206 (UT)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1405 W MINER LOOP RDSOUTH JORDAN, UT, 840951324Browse UT providers · Browse ZIP 84095
- Phone
- 8019033489
- Primary Specialty
-
Physician Assistant
363A00000X
- Additional Specialty
- Student (Health Education/Training)
Other Physician Assistant Providers in SOUTH JORDAN, UT
| Name | Credential | NPI |
|---|---|---|
| MR. JONATHAN THOMAS BAIRD | PA-C, ATC | 1578525200 |
| ELMER G SISNEROS | PA | 1912963117 |
| DEIDRE CONOVER | PA-C | 1982741492 |
| CHUCK HUNG GEE | PA-C | 1972620417 |
| ERIN KIMBALL | PA-C | 1790034916 |
| MEGAN ELLICE CROOKSTON | — | 1659773216 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.