Yvonne Potter Fuellenbach, PA-C

NPI #1063645554 in Murray, Utah

Provider Information

NPI Number: 1063645554
Entity Type: Individual
Name: Yvonne Potter Fuellenbach, PA-C
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA-C
Enumeration Date: Aug 31, 2009
Last Updated: Apr 29, 2016

Practice Location

Address: 5848 FASHION BLVD STE 110
City: Murray
State: Utah
ZIP Code: 84107-6121
Phone: (801) 314-4130

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Orthopaedic Surgery - Adult Reconstructive Orthopaedic Surgery — Adult Reconstructive Orthopaedic Surgery	207XS0114X
Physician Assistant	363A00000X	Primary

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