Yvonne Potter Fuellenbach
Adult Reconstructive Orthopaedic Surgeon
5848 Fashion Blvd Ste 110
Murray
, Utah 84107-6121
Yvonne Potter Fuellenbach
Adult Reconstructive Orthopaedic Surgeon
5848 Fashion Blvd Ste 110
Murray
, Utah 84107-6121
(801) 314-4011
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About
Features
Specialties
- Adult Reconstructive Orthopaedic Surgeon
Languages spoken
- English
Location
First Address
- Yvonne Potter Fuellenbach
- Po Box 27128
- Salt Lake City, UT
- Zip : 84127-0128
- Fax : (801) 314-4011
- Phone : (801) 314-4130
Second Address
- Yvonne Potter Fuellenbach
- 5848 Fashion Blvd Ste 110
- Murray, UT
- Zip : 84107-6121
- Fax : (801) 314-4011
- Phone : (801) 314-4130
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 207XS0114X | Adult Reconstructive Orthopaedic Surgeon | APPLIED | UT |
National Provider Identifier
| NPI | 1063645554 |
|---|---|
| Provider Name | Yvonne Potter Fuellenbach |
| First Address | Salt Lake City, UT 84127-0128 |
| Second Address | Murray, UT 84107-6121 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 31/08/2009 |
| Last Update Date | 29/04/2016 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.