Provider Demographics
NPI:1639406705
Name:SCHINDELER, MARY CATHERINE (PA-C)
Entity Type:Individual
Prefix:MRS
First Name:MARY
Middle Name:CATHERINE
Last Name:SCHINDELER
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1665 BONANZA DR
Mailing Address - Street 2:
Mailing Address - City:PARK CITY
Mailing Address - State:UT
Mailing Address - Zip Code:84060-5127
Mailing Address - Country:US
Mailing Address - Phone:801-491-6482
Mailing Address - Fax:
Practice Address - Street 1:1665 BONANZA DR
Practice Address - Street 2:
Practice Address - City:PARK CITY
Practice Address - State:UT
Practice Address - Zip Code:84060-5127
Practice Address - Country:US
Practice Address - Phone:435-649-7640
Practice Address - Fax:435-645-7768
Is Sole Proprietor?:No
Enumeration Date:2009-11-11
Last Update Date:2016-08-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ORPA150182363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant