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Dr. Shannon L Tilly, MD
Obstetrics & Gynecology Physician in Salt Lake City, Utah
NPI 1093767196

Shannon L Tilly is a Obstetrics & Gynecology Physician based in Salt Lake City, UT. Shannon L Tilly practices in Salt Lake City, UT and has the professional credentials of MD. The NPI Number for Shannon L Tilly is 1093767196 and holds a License No. 54125001205 (Utah).

The current practice location address for Shannon L Tilly is 1525 W 2100 S, Salt Lake City, UT and can be reached out via phone at 801-213-9900.

Location: 1525 W 2100 S, Salt Lake City, UT, 84127-0128
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1093767196
Provider Name
Shannon L Tilly
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
1525 W 2100 S, Salt Lake City, UT, 84127-0128
Phone Number
801-213-9900
Fax Number
Provider Enumeration Date
05/17/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
1525 W 2100 S
City
Salt Lake City
State
Utah
Zip
84119-1401
Phone Number
801-213-9900
Fax Number
person
Provider Business Mailing Address Details
Address
1525 W 2100 S
City
Salt Lake City
State
Utah
Zip
84119-1401
Phone Number
801-213-9900
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Obstetrics & Gynecology
Speciality
-
Taxonomy
207V00000X
License No.
54125001205 (Utah)
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 a primary physician for women.
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