GATEWAY AESTHETIC INSTITUTE & LASER CENTER NPI 1124298203

NPI Information

GATEWAY AESTHETIC INSTITUTE & LASER CENTER is a rural general acute care hospital in Salt Lake City, UT. GATEWAY AESTHETIC INSTITUTE & LASER CENTER NPI is 1124298203. The provider is registered as an organization entity type.

The provider's business location address is:

440 W 200 S
SUITE 250
SALT LAKE CITY, UT
ZIP 84101-345
Phone: (801) 595-1600
Fax: (801) 364-0423

The provider's authorized official is Nancy J Samolitis .
The authorized official title is Board Certified Dermatologist and has the following contact phone number (801) 595-1600.

The enumeration date for this NPI number is 3/5/2008 and was last updated on 3/5/2008.

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:

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