Organization · Type 2 NPI

Southern Utah Surgical and Laser Aesthetics LLC

Specialist · St. George, UT

NPI number 1114164365 Active

Practice location

1068 E Riverside Dr
St. George, UT 84790-4477

Call (435) 628-6466 Map

Fax (435) 628-3845

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000XNone listed
Dermatology Physician 207N00000XNone listed

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

8 other providers at this address

Other specialist providers in St. George

See all in St. George →

About NPI 1114164365

Southern Utah Surgical and Laser Aesthetics LLC's National Provider Identifier is 1114164365, issued on Jan 9, 2009. The primary taxonomy on file is Specialist (174400000X), and the practice location is in St. George, UT. The record was last updated on Feb 1, 2022.