Individual provider · Type 1 NPI

Alexa Rae Fishburn, DO

Family Medicine Physician · Sandy, UT

NPI number 1508569179 Active

Practice location

955 E 11400 S
Sandy, UT 84094-6946

Call (801) 571-0030 Map

Mailing address

PO Box 27128
Salt Lake City, UT 84127-0128

Specialties and licenses

TaxonomyCodeLicense
Family Medicine Physician Primary 207Q00000X14131008-1204 (UT)

Family Medicine Physician: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

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About NPI 1508569179

Alexa Rae Fishburn, DO's National Provider Identifier is 1508569179, issued on Mar 23, 2023. The primary taxonomy on file is Family Medicine Physician (207Q00000X), and the practice location is in Sandy, UT. The record was last updated on Oct 29, 2026.