Individual
CHARLES DUPAIX
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
900 ROUND VALLEY DR, SUITE 100, PARK CITY, UT 84060-7552
(435) 655-6600
(435) 655-2388
Mailing address
900 ROUND VALLEY DR, SUITE 100, PARK CITY, UT 84060-7552
(435) 655-6600
(435) 655-2388
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
003467
CT
363AS0400X
Surgical Physician Assistant
Primary
9852475-8906
UT
Other
Enumeration date
08/11/2015
Last updated
12/17/2021
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