Individual provider · Type 1 NPI

Carol A. Leatherman, PA

Physician Assistant · Park City, UT

NPI number 1700834686 Active

Practice location

750 Round Valley Dr, Suite 200
Park City, UT 84060-7548

Call (435) 658-7246 Map

Mailing address

PO Box 27128
Salt Lake City, UT 84127-0128

Specialties and licenses

Taxonomy	Code	License
Surgical Physician Assistant	363AS0400X	PA920 (KY)
Physician Assistant Primary	363A00000X	9454093-1206 (UT)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1700834686

Carol A. Leatherman, PA's National Provider Identifier is 1700834686, issued on May 4, 2006. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Park City, UT. The record was last updated on Mar 29, 2017.