Individual provider · Type 1 NPI

Caroline Berry Carlson, PA-C

Medical Physician Assistant · Salt Lake City, UT

NPI number 1700234655 Active

Practice location

1525 W 2100 S
Salt Lake City, UT 84119-1407

Mailing address

3219 E Bell Oaks Cir
Sandy, UT 84092-4255

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700X9757712-1206 (UT)
Physician Assistant 363A00000X9757712-1206 (UT)

Medical Physician Assistant: Definition to come...

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About NPI 1700234655

Caroline Berry Carlson, PA-C's National Provider Identifier is 1700234655, issued on Jun 1, 2016. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Salt Lake City, UT. The record was last updated on Nov 11, 2021.