Organization
GATEWAY AESTHETIC INSTITUTE & LASER CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NANCY J SAMOLITIS MD (BOARD CERTIFIED DERMATOLOGIST)
(801) 595-1600
Entity
Organization
Contact information
Practice address
440 W 200 S, SUITE 250, SALT LAKE CITY, UT 84101-1345
(801) 595-1600
(801) 364-0423
Mailing address
440 W 200 S, SUITE 250, SALT LAKE CITY, UT 84101-1345
(801) 595-1600
(801) 364-0423
Taxonomy
Speciality
Code
Description
License number
State
282NR1301X
Rural Acute Care Hospital
Primary
5216196-8905
UT
Other
Enumeration date
03/05/2008
Last updated
03/05/2008
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