Individual provider · Type 1 NPI

Shannon L. Tilly, MD

Obstetrics & Gynecology Physician · Salt Lake City, UT

NPI number 1093767196 Active

Practice location

1525 W 2100 S
Salt Lake City, UT 84119-1401

Call (801) 213-9900 Map

Mailing address

PO Box 27128
Salt Lake City, UT 84127-0128

Specialties and licenses

TaxonomyCodeLicense
Obstetrics & Gynecology Physician Primary 207V00000X54125001205 (UT)

Obstetrics & Gynecology Physician: 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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About NPI 1093767196

Shannon L. Tilly, MD's National Provider Identifier is 1093767196, issued on May 17, 2006. The primary taxonomy on file is Obstetrics & Gynecology Physician (207V00000X), and the practice location is in Salt Lake City, UT. The record was last updated on Aug 10, 2021.