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CAROL LEATHERMAN, PA
PA
Physician Assistant
NPI: 1700834686IndividualAccepts Medicare
Specialties, Licenses & Credentials
Surgical Physician Assistant
Physician Assistant — Surgical
Code: 363AS0400X
PA920(KY)
Physician AssistantPrimary
Physician Assistant
Code: 363A00000X
9454093-1206(UT)
CMS Specialties
PrimaryPHYSICIAN ASSISTANT
Education
OTHER
Class of 2005
Contact & Hours
- Address
- 750 ROUND VALLEY DR, STE 101
PARK CITY, UT 84060 - Phone
- (435) 658-7246
Quick Facts
- NPI
- 1700834686
- Entity Type
- Individual
- Gender
- Female
- Medicare
- Accepted
- Specialties
- 2
- Locations
- 1
- Years in Practice
- 21
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