IndividualActive
Braun Tueller, DMSC, PA-C
NPI 1699159822 · Physician Assistant · Clearfield, UT
Provider details
- NPI number
- 1699159822
- Entity type
- Individual
- Primary specialty
- Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- DMSC, PA-C
- Sex
- Male
- Sole proprietor
- Yes
- License
- 10121208-1206 (UT)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistants & Advanced Practice Nursing Providers
Practice location
938 University Park Blvd
Clearfield, UT 84015-6283
Phone: (801) 918-6038
Fax: (877) 559-3988
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 65
Layton, UT 84041-0915
Registry dates
- Enumerated
- 2015-07-17
- Last updated
- 2026-01-05
- Certified
- 2026-01-05
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.