Individual
STEPHANIE ANN VETTERLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MPAS, PA-C
Contact information
Practice address
500 FOOTHILL BLVD, SALT LAKE CITY, UT 84148-0001
(801) 582-1565
(801) 584-2576
Mailing address
500 FOOTHILL DR, SALT LAKE CITY, UT 84148
(801) 582-1565
(801) 584-2576
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
6310477-1206
UT
Other
Enumeration date
12/15/2006
Last updated
06/08/2015
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