CAROL LEATHERMAN, PA
Physician Assistant
Active
Individual
NPI: 1700834686
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Physician Assistant - Surgical | 363AS0400X | No | PA920 (KY) |
| Physician Assistant | 363A00000X | Yes | 9454093-1206 (UT) |
Frequently Asked Questions
NPI 1700834686 is the National Provider Identifier for CAROL LEATHERMAN, PA, a Physician Assistant provider located in Park City, UT. This NPI was enumerated on May 4, 2006.
CAROL LEATHERMAN, PA practices at 750 ROUND VALLEY DR, SUITE 200, Park City, UT 84060.
Quick Facts
- NPI
- 1700834686
- Type
- Individual
- Enumerated
- May 4, 2006
- Last Updated
- Mar 29, 2017
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