MR. DORIAN J CARROLL PA-C NPI 1295989630

NPI Information

NPI: 1295989630
Provider Name: MR. DORIAN J CARROLL, PA-C
Classification: Physician Assistant - 363AS0400X
Entity Type: Individual

Specialization: Surgical

PECOS Registration: Yes

Address:
6095 FASHION BLVD STE 100
MURRAY, UT
ZIP 84107
Phone: (801) 263-8700
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MR. Dorian J Carroll, PA-C is a surgical physician assistant in Murray, UT with 22 years of experience. MR. Dorian J Carroll, PA-C NPI is 1295989630. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

6095 FASHION BLVD STE 100
MURRAY, UT
ZIP 84107-377
Phone: (801) 263-8700
Fax: (801) 263-8693

The NPI 1295989630 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 11/12/2008 and was last updated on 1/3/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207K00000X	Allergy & Immunology		5182589-1206	UTAH	No
2	363AS0400X	Physician Assistant	Surgical	5182589-1206	UTAH	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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