Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mitchell Dahl, PA-C

Individual provider Physician Assistant · NPI 1366111601

Mitchell Dahl, PA-C is a Physician Assistant in Park City, Utah. Qualified in 2021, 5 years ago. Practices with Desert Orthopedic Center a Medical Group Inc, a 49-clinician group and accepts Medicare assignment. Licensed in Utah.

Years since qualifying
5
Licensed in
UT
In the registry since
2021
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

900 Round Valley Dr Ste 100
Park City, UT 84060-7552
Phone: (435) 655-6607
Fax: (435) 655-2388
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 8772001206 (UT)

Record details

NPI number1366111601
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedSeptember 9, 2021
Last updated in NPPESDecember 30, 2025
Certification dateDecember 30, 2025
Mailing address900 Round Valley Dr Ste 100, Park City, UT 84060-7552

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Desert Orthopedic Center A Medical Group Inc — 49 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

Other providers in Park City