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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. SHANNON L TILLY, MD

Active

DR. SHANNON L TILLY, MD is a Obstetrics & Gynecology healthcare provider located in SALT LAKE CITY, Utah. NPI 1093767196 is currently active in the NPPES registry. Verify at CMS.

Obstetrics & Gynecology · SALT LAKE CITY, UT

Registration Details

NPI Number
1093767196
Provider Type
Individual
Gender
Female
NPI Issued
May 17, 2006 (20.446058506043 yrs)
Last Updated
Aug 10, 2021
License
54125001205 (UT)

Practice Information

Address
1525 W 2100 S
SALT LAKE CITY, UT, 841191401
Browse UT providers · Browse ZIP 84119
Phone
8012139900
Primary Specialty
Obstetrics & Gynecology
207V00000X

Other Obstetrics & Gynecology Providers in SALT LAKE CITY, UT

Name Credential NPI
DR. JONATHAN PEARSON DANIELS MD 1043214935
DR. DAVID H. HUA D.O. 1043216542
DR. KATHRYN MARIE ARBABI MD 1780682443
DR. DAVID KEITH TUROK M.D. 1568449379
LISA A MORGAN MD 1215904685
DR. CATHERINE J WHEELER MD 1720055742
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.