Individual provider · Type 1 NPI

Michael David Engelbert-Fenton, PA-C

Medical Physician Assistant · Salt Lake City, UT

NPI number 1194701920 Active

Practice location

150 S 1000 E
Salt Lake City, UT 84102-1443

Call (801) 363-4071 Map

Mailing address

6275 Snowview Dr
Park City, UT 84098-6118

Specialties and licenses

TaxonomyCodeLicense
Family Medicine Physician 207Q00000X102950-1206 (UT)
Medical Physician Assistant Primary 363AM0700X102950-1206 (UT)

Medical Physician Assistant: Definition to come...

8 other providers at this address

Other medical physician assistant providers in Salt Lake City

See all in Salt Lake City →

About NPI 1194701920

Michael David Engelbert-Fenton, PA-C's National Provider Identifier is 1194701920, issued on Dec 22, 2005. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Salt Lake City, UT. The record was last updated on Sep 14, 2021.