Bryan Still, MD
Internal Medicine, Hematology in Salt Lake City, UT. Individual provider (NPI-1).
NPI number1689178907
StatusActive
Last updated in NPPESNov 23, 2021
Details
- NPI
- 1689178907
- Entity type
- Individual (NPI-1)
- Name
- Bryan Still
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Mar 21, 2018
- Certification date
- Nov 23, 2021
- Last updated
- Nov 23, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207RH0000X | Internal Medicine, Hematology | 11405516-1205 | UT | Yes |
| 207R00000X | Internal Medicine | 11405516-1205 | UT |
Practice location
50 N Medical DrSalt Lake City, UT 84132-0001
Phone 801-581-2121
Mailing address
30 N 1900 E Rm 4c116Salt Lake City, UT 84132-0002
Phone 801-581-7606
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