Erica Tracy Stillner, MD
Pediatrics in Salt Lake City, UT. Individual provider (NPI-1).
NPI number1114115367
StatusActive
Last updated in NPPESOct 11, 2007
Details
- NPI
- 1114115367
- Entity type
- Individual (NPI-1)
- Name
- Erica Tracy Stillner
- Credential
- MD
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Oct 11, 2007
- Last updated
- Oct 11, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208000000X | Pediatrics | 63532381205 | UT | Yes |
Practice location
100 N Medical DrPrimary Children'S Medical Center
Salt Lake City, UT 84113-1103
Phone 206-849-8276
Mailing address
100 N Medical DrPrimary Children'S Medical Center
Salt Lake City, UT 84113-1103
Phone 206-849-8276
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