Individual
SKYLER LEE GALLEGOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
4403 HARRISON BLVD STE 2400, OGDEN, UT 84403-3297
(801) 387-2750
(801) 387-2755
Mailing address
PO BOX 27128, SALT LAKE CITY, UT 84127-0128
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
12056611-1206
UT
363A00000X
Physician Assistant
—
TX
363AS0400X
Surgical Physician Assistant
—
—
Other
Enumeration date
05/28/2019
Last updated
03/31/2023
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