Most Relevant Information
Provider Data
| NPI Number: | 1003329962 |
| Provider Name: | STACI LEE GUNTER PA-C |
| Entity Type: | Individual |
| Taxonomy Code: | 363AS0400X |
| Specialty: | Physician Assistant |
| License Number: | 10560992-1206 |
Most Important Dates
| Enumeration Date: | 11/13/2017 |
| Last Updated: | 12/08/2017 |
Provider Practice Location
50 N MEDICAL DR
SALT LAKE CITY
UT
841320001
Practice Location Phone/Fax
| Phone: | 8015816908 |
| Fax: |
Provider Mailing Location
2120 S HIGHLAND DR APT 530
SALT LAKE CITY
UT
841063376
Provider Mailing Phone/Fax
| Phone: | 8017874827 |
| Fax: |