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NPI Code Detail

MEDICARE: SHELLY SAVAGE M D LLC

MEDICARE: SHELLY SAVAGE M D LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207Q00000XFamily Medicine Physician4775407-1205UT

General Provider Information

NPI Number : 1669652343
Entity Type Code : Organization
Provider Name (Legal Business Name) : SHELLY SAVAGE M D LLC
Provider Business Mailing Address
First Line : 1900 N STATE ST
Second Line :
City : PROVO
State : UT
Zip : 84604-1341
Country : US
Telephone Number : 801-373-2001
Fax Number : 801-373-4748
Provider Business Practice Location Address
First Line : 1900 N STATE ST
Second Line :
City : PROVO
State : UT
Zip : 84604-1341
Country : US
Telephone Number : 801-373-2001
Fax Number : 801-373-4748
Authorized Official
Title or Position : OWNER
Name : SHELLY SAVAGE
Credential : MD
Telephone Number : 801-373-2001
Provider Enumeration Date : 11/09/2007
Last Update Date : 02/03/2022

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Directions to “SHELLY SAVAGE M D LLC ” Practice Location

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