Search › Utah › 363A00000X
Carol Leatherman, PA
NPI 1700834686 · on the registry since 2006
Practice
- Address
- 750 Round Valley Dr
Suite 200
Park City, UT 84060 - Phone
- (435) 658-7246
- Organisation at this address
- Ihc Health Services Inc
Ihc Health Services Inc
Ihc Health Services Inc
Ihc Health Services Inc
Park City Clinic PharmacyInferred from a shared address, not stated in the registry. - Clinicians at this address
- 25
Registry record
- Primary taxonomy
- 363A00000X
363A00000X
- Also registered as
- 363AS0400X
- Licence states on file
- KY, UT
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2017-03-29
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Utah