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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

CAROL A LEATHERMAN, PA

Active

CAROL A LEATHERMAN, PA is a Physician Assistant healthcare provider located in PARK CITY, Utah. NPI 1700834686 is currently active in the NPPES registry. Verify at CMS.

Physician Assistant · PARK CITY, UT

Registration Details

NPI Number
1700834686
Provider Type
Individual
Gender
Female
NPI Issued
May 4, 2006 (20.246756655979 yrs)
Last Updated
Mar 29, 2017
Licenses
PA920 (KY)
9454093-1206 (UT)

Practice Information

Address
750 ROUND VALLEY DR
SUITE 200
PARK CITY, UT, 840607548
Browse UT providers · Browse ZIP 84060
Phone
4356587246
Primary Specialty
Physician Assistant
363A00000X
Additional Specialty
Physician Assistant

Other Physician Assistant Providers in PARK CITY, UT

Name Credential NPI
CYNTHIA C BERWALD PA 1033117874
LINDSEY ELIZABETH MARSHALL PA 1851406011
EILEEN BURKE-PRICE 1649379413
MS. NATALIE GREVELINK PA-C 1407060908
MS. MELINDA S ROALSTAD PAC 1740453703
SHARI BLOOM PA-C 1053564179
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.