DR. SHANNON TILLY, MD

Obstetrics & Gynecology

Active Individual
NPI: 1093767196

Practice Address

1525 W 2100 S
Salt Lake City, UT 84119

Phone: (801) 213-9900

Specialties

Specialty Code Primary License
Obstetrics & Gynecology 207V00000X Yes 54125001205 (UT)

Frequently Asked Questions

NPI 1093767196 is the National Provider Identifier for DR. SHANNON TILLY, MD, a Obstetrics & Gynecology provider located in Salt Lake City, UT. This NPI was enumerated on May 17, 2006.
DR. SHANNON TILLY, MD practices at 1525 W 2100 S, Salt Lake City, UT 84119.

Quick Facts

NPI
1093767196
Type
Individual
Enumerated
May 17, 2006
Last Updated
Aug 10, 2021

Nearby Providers