Gateway Aesthetic Institute & Laser Center

NPI #1124298203 in Salt Lake City, Utah

Provider Information

NPI Number
1124298203
Entity Type
Organization
Organization Name
Gateway Aesthetic Institute & Laser Center
Primary Specialty
General Acute Care Hospital - Rural
Enumeration Date
Mar 5, 2008
Last Updated
Mar 5, 2008

Practice Location

Address
440 W 200 S
Address 2
SUITE 250
State
Utah
ZIP Code
84101-1345
Phone
(801) 595-1600

Authorized Official

Name
NANCY J SAMOLITIS, MD
Title
BOARD CERTIFIED DERMATOLOGIST
Phone
(801) 595-1600

Specialties & Taxonomy Codes

Specialty
General Acute Care Hospital - RuralRural

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