Individual provider · Type 1 NPI

Staci Lee Gunter, PA-C

Surgical Physician Assistant · Salt Lake City, UT

NPI number 1003329962 Active

Practice location

50 N Medical Dr
Salt Lake City, UT 84132-0001

Call (801) 581-6908 Map

Mailing address

2120 S Highland Dr Apt 530
Salt Lake City, UT 84106-3376

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant Primary 363AS0400X10560992-1206 (UT)
Physician Assistant 363A00000X10560992-1206 (UT)

Surgical Physician Assistant: Definition to come...

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About NPI 1003329962

Staci Lee Gunter, PA-C's National Provider Identifier is 1003329962, issued on Nov 13, 2017. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Salt Lake City, UT. The record was last updated on Dec 8, 2017.