Organization
SALT LAKE DERMATOLOGY AND AESTHETICS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL C SOTIRIOU MD (OWNER)
(801) 521-5630
Entity
Organization
Contact information
Practice address
250 E 300 S STE 120, SALT LAKE CITY, UT 84111-2418
(801) 521-5630
(801) 596-9780
Mailing address
250 E 300 S STE 120, SALT LAKE CITY, UT 84111-2418
(801) 521-5630
(801) 596-9780
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
—
—
Other
Enumeration date
03/25/2021
Last updated
04/12/2021
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