Individual
MR. DORIAN J CARROLL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-C
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
5182589-1206
UT
363AS0400X
Surgical Physician Assistant
Primary
5182589-1206
UT
Other
Enumeration date
11/12/2008
Last updated
01/03/2023
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