SHANA EBORN, MD

Family Medicine

Active Individual
NPI: 1780615658

Practice Address

2295 FOOTHILL DR
Salt Lake City, UT 84109

Phone: (801) 486-3021

Specialties

Specialty Code Primary License
Family Medicine 207Q00000X Yes 5945718-1205 (UT)

Frequently Asked Questions

NPI 1780615658 is the National Provider Identifier for SHANA EBORN, MD, a Family Medicine provider located in Salt Lake City, UT. This NPI was enumerated on July 6, 2006.
SHANA EBORN, MD practices at 2295 FOOTHILL DR, Salt Lake City, UT 84109.

Quick Facts

NPI
1780615658
Type
Individual
Enumerated
Jul 6, 2006
Last Updated
Dec 9, 2019

Nearby Providers