NPI 1003329962

Staci Lee Gunter, PAC

Practitioner Surgical Physician Assistant Salt Lake City, UT

Practice location

Address: 50 N Medical Dr, Salt Lake City, UT 84132-0001
Phone: (801) 581-6908
Mailing address: 2120 S Highland Dr APT 530, Salt Lake City, UT 84106-3376

Registered specialties (2)

Surgical Physician Assistant Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363AS0400X Licence 10560992-1206 (UT)

Other Physician Assistant providers in Utah →

Physician Assistant

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363A00000X Licence 10560992-1206 (UT)

Registry record

NPI: 1003329962
Entity type: Individual
Sex (as registered): Female
NPI issued: 13 Nov 2017
Record last updated: 8 Dec 2017

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.