Cameron Dortch, MPAS, PA-C

NPI #1982914693 in Tooele, Utah

Provider Information

NPI Number: 1982914693
Entity Type: Individual
Name: Cameron Dortch, MPAS, PA-C
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: MPAS, PA-C
Enumeration Date: Oct 15, 2010
Last Updated: Oct 15, 2010

Practice Location

Address: 1959 AARON DR # F
City: Tooele
State: Utah
ZIP Code: 84074
Phone: (435) 843-1225

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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