Individual provider · Type 1 NPI

Charles Blair Stillerman, MD, F.A.C.S.

Neurological Surgery Physician · Salt Lake City, UT

NPI number 1477628667 Active

Practice location

175 N Medical Dr
Salt Lake City, UT 84132-6967

Call (801) 581-6908 Map

Fax (801) 581-4385

Mailing address

175 N Medical Dr
Salt Lake City, UT 84112-1103

Specialties and licenses

TaxonomyCodeLicense
Neurological Surgery Physician Primary 207T00000X6059746-1205 (UT)

Neurological Surgery Physician: A neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify function or activity of the nervous system; and the opera…

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About NPI 1477628667

Charles Blair Stillerman, MD, F.A.C.S.'s National Provider Identifier is 1477628667, issued on Nov 22, 2006. The primary taxonomy on file is Neurological Surgery Physician (207T00000X), and the practice location is in Salt Lake City, UT. The record was last updated on Feb 27, 2025.