Organization
GATEWAY AESTHEETIC INSTITUTE& LASER CENTER
Active
Organization
GATEWAY AESTHEETIC INSTITUTE& LASER CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MARK B TAYLOR M.D. (CEO/PHYSICIAN)
(801) 595-1600
Entity
Organization
Contact information
Practice address
440 W 200 S STE 250, SALT LAKE CITY, UT 84101-1462
(801) 595-1600
(801) 364-0423
Mailing address
440 W 200 S STE 250, SALT LAKE CITY, UT 84101-1462
(801) 595-1600
(801) 364-0423
Taxonomy
Speciality
Code
Description
License number
State
284300000X
Special Hospital
Primary
158056-8905
UT
Other
Enumeration date
11/05/2007
Last updated
11/05/2007
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