Shannon L Tilly in Salt Lake City - Obstetrics & Gynecology
Shannon L Tilly - NPI 1093767196
Shannon L Tilly is a Obstetrics & Gynecology in Salt Lake City, Utah. Shannon L Tilly practices all healthcare services and medical treatments related to Obstetrics & Gynecology. The NPI Number for Shannon L Tilly is 1093767196. The last update date is 2021-08-10.
Shannon L Tilly's current location address is 1525 W 2100 S, Salt Lake City, Utah. You can contact this provider via phone number 8012139900. The mailing address for Shannon L Tilly is 1525 W 2100 S, Salt Lake City, Utah. To know further, please read the information below!
Provider Profile Detail
Provider Name | Shannon L Tilly |
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Address | 1525 W 2100 S, Salt Lake City, Utah |
Phone Number | 8012139900 |
Fax Number | |
Sole Proprietor | N |
Credentials | MD |
NPI Number Detail
NPI Number | 1093767196 |
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Provider Enumeration Date | 2006-05-17 |
Last Updated Date | 2021-08-10 |
Provider Mailing Address Detail
Address | 1525 W 2100 S |
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City | Salt Lake City |
State | Utah (UT) |
Post Code | 8411914010 |
Phone Number | 8012139900 |
Fax Number |
Provider's Primary Taxonomy Detail
Speciality | Obstetrics & Gynecology |
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Taxonomy | 207V00000X |
Licence No | 54125001205 |
Definition: An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as |
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What is the Shannon L Tilly's unique identification number?
The Shannon L Tilly has been assigned the NPI (National Provider Identifier) Number 1093767196 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you kindly provide the complete physical address where Shannon L Tilly's facilities are geographically located?
The facilities of Shannon L Tilly are physically situated at the following location: 1525 W 2100 S, Salt Lake City, UT, 8411914010.
What is Shannon L Tilly's specialized field of practice, and what is the corresponding taxonomy classification code?
The Shannon L Tilly's area of specialization is Obstetrics & Gynecology, and the corresponding taxonomy code that categorizes this field of practice is 207V00000X.
When was the Shannon L Tilly's 1093767196 issued?
The Shannon L Tilly's 1093767196 was issued on 2006-05-17.
When was the information regarding Shannon L Tilly most recently updated?
The details pertaining to the Shannon L Tilly, including its address, specialty, and other relevant information, were last refreshed on 2021-08-10.
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