| Doctor Name: | MRS. EMILY E. SANDBERG |
| NPI Number: | 1164440665 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PA-C |
| License Number: | 60220351206 |
| Business Practice Address: | 3110 W. 300 N. Ste A West Point, UT - 84015 |
| Business Phone Number: | 8016145140 |
| Business Fax Number: | 8016145144 |
| Mailing Address: | 3110 W. 300 N., Ste A WEST POINT |
| State: | UT |
| Postal Code: | 84015 |
| Phone Number: | 8016145140 |
| Fax Number: | 8016145144 |
| NPI Enumeration Date: | 07/17/2006 |
| NPI Last Update Date: | 09/03/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363AM0700X |
| License Number: | 60220351206 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | UT |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Physician Assistant |
| Taxonomy Specialization: | Medical |
| Taxonomy Definition: | |