Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DOMINIQUE STAY TECKLENBURG, PA-C
Active Sole ProprietorPhysician Assistant · OREM, UT
Registration Details
- NPI Number
- 1639877475
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Feb 21, 2023 (3.2029881007695 yrs)
- Last Updated
- Feb 21, 2023
- Sole Proprietor
- Yes
Practice Information
- Address
-
435 S 660 WOREM, UT, 840586078Browse UT providers · Browse ZIP 84058
- Phone
- 8016914980
- Primary Specialty
-
Physician Assistant
363A00000X
Other Physician Assistant Providers in OREM, UT
| Name | Credential | NPI |
|---|---|---|
| BRIAN T BODEN | PAC | 1316938673 |
| MR. BYRON CLYDE EDWARDS | PA-C, PH.D | 1902887193 |
| JASON EATOUGH | PA | 1205874179 |
| BARBARA J ROWLEY | PA-C | 1245244557 |
| TERI LYNN | PA | 1225129976 |
| MR. JARED BEN HAINS | PA | 1780750091 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.