DR. Shannon L Tilly, MD
NPI #1093767196 in Salt Lake City, Utah
Provider Information
- NPI Number
- 1093767196
- Entity Type
- Individual
- Name
- DR. Shannon L Tilly, MD
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Obstetrics & Gynecology
- Credential
- MD
- Enumeration Date
- May 17, 2006
- Last Updated
- Aug 10, 2021
Practice Location
- Address
- 1525 W 2100 S
- City
- Salt Lake City
- State
- Utah
- ZIP Code
- 84119-1401
- Phone
- (801) 213-9900
Specialties & Taxonomy Codes
| Specialty |
|---|
| Obstetrics & Gynecology |
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