| Leo Sotiriou, MD | |
|
250 E 300 S, #330, Salt Lake City, UT 84111-2418 | |
| (801) 521-5630 | |
| (801) 596-9780 |
| Full Name | Leo Sotiriou |
|---|---|
| Gender | Male |
| Speciality | Dermatology - Procedural Dermatology |
| Location | 250 E 300 S, Salt Lake City, Utah |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801885199 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207NS0135X | Dermatology - Procedural Dermatology | 155029 1205 (Utah) | Primary |
| Entity Name | Leo Sotiriou, Md, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1154536647 PECOS PAC ID: 3678548617 Enrollment ID: O20040901000750 |
| Mailing Address | Practice Location Address |
|---|---|
| Leo Sotiriou, MD 250 E 300 S, #330, Salt Lake City, UT 84111-2418 Ph: (801) 521-5630 | Leo Sotiriou, MD 250 E 300 S, #330, Salt Lake City, UT 84111-2418 Ph: (801) 521-5630 |
Caitlin Marie Bolender, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 30 N 1900 E Rm 4a330, Salt Lake City, UT 84132 Phone: 801-581-5509 | |
Dr. Lana Ngoc Pho, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 50 N Medical Dr, Salt Lake City, UT 84132 Phone: 801-587-6340 Fax: 801-587-6346 | |
Justin F Thulin, MD Dermatology Medicare: Not Enrolled in Medicare Practice Location: 1151 E 3900 S, Parkview Building B 259, Salt Lake City, UT 84124 Phone: 801-266-7325 Fax: 801-281-2263 | |
Bahman Sotoodian, MD, FRCP(C), FAAD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 440 W 200 S Ste 250, Salt Lake City, UT 84101 Phone: 801-595-1600 | |
Amber R. Jimenez, MD Dermatology Medicare: Medicare Enrolled Practice Location: 30 N 1900 E # 4a330, Salt Lake City, UT 84132 Phone: 015-816-4658 | |
Dr. Douglas L Powell, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 50 N Medical Dr, Salt Lake City, UT 84132 Phone: 801-581-2955 | |
David A Wada, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 50 N Medical Dr # E13, Salt Lake City, UT 84132 Phone: 801-581-2955 |