Southern Utah Surgical and Laser Aesthetics LLC

NPI #1114164365 in St George, Utah

Provider Information

NPI Number: 1114164365
Entity Type: Organization
Organization Name: Southern Utah Surgical and Laser Aesthetics LLC
Primary Specialty: Specialist
Enumeration Date: Jan 9, 2009
Last Updated: Feb 1, 2022

Practice Location

Address: 1068 E RIVERSIDE DR
City: St George
State: Utah
ZIP Code: 84790-4477
Phone: (435) 628-6466

Authorized Official

Name: BENJAMIN CARTER, M.D.
Title: OWNER
Phone: (435) 628-6466

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dermatology	207N00000X
Specialist	174400000X	Primary

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