Shana K. Eborn MD

NPI 1780615658 - Family Medicine - 207Q00000X

NPI Details
NPI 1780615658
Gender Female
Enumeration Date 07/06/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
2295 FOOTHILL DR
SALT LAKE CITY UT, 84109-4000, US
Phone (801) 486-3021
Fax (801) 485-6339
Business Location
2295 FOOTHILL DR
SALT LAKE CITY UT, 84109-4000, US
Phone (801) 486-3021
Fax (801) 485-6339
Toxanomy
Taxonomy Code 207Q00000X
License State Utah
License Number 59457181205
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According to our database, Shana K. Eborn MD NPI is 1780615658, taxonomy code is 207Q00000X and license number is 59457181205, license state is located at Utah. Shana K. Eborn MD physically located at 2295 Foothill Dr, Salt Lake City UT, 84109-4000. NPI Number Shana K. Eborn MD has the Individual type.

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1780615658 NPI number is provided on an as is basis without warranty of any kind. 1780615658 is maintained by the National Plan & Provider Enumeration System. The contents of Shana K. Eborn MD are for informational purposes only.