Individual provider · Type 1 NPI
Dominique Stay Tecklenburg, PA-C
Physician Assistant · Orem, UT
Practice location
435 S 660 W
Orem, UT 84058-6078
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Physician Assistant Primary | 363A00000X | None listed |
Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…
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About NPI 1639877475
Dominique Stay Tecklenburg, PA-C's National Provider Identifier is 1639877475, issued on Feb 21, 2023. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Orem, UT. The record was last updated on Feb 21, 2023.