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Contact Information

YVONNE P FUELLENBACH, PA-C
5848 FASHION BLVD STE 110
MURRAY, UT84107-6121
 Phone: 801-314-4130
 Fax: 801-314-4011
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physician Assistant

363A00000X 97 Physician Assistant
 

Adult Reconstructive Orthopaedic Surgery

207XS0114X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for YVONNE P FUELLENBACH · (Female)

NPI Number 1063645554
Status Active
Credentials PA-C (Physician Assistant-Certified)
Entity Individual
Enumeration date 08/31/2009
Last updated 04/29/2016 - About 10 years ago
Sole proprietor 1 No
Identifiers
  • UT License # 264696-1206
  • UT License # APPLIED
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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