# STILL LLC DBA THE CENTER MEDICAL

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1104687391
- **Authorized official:** JULIE NIELSEN (DNP FNP-C)
- **Authorized official phone:** (801) 874-4954

## Contact information

- **Practice address:** 12481 S FORT ST STE 150, DRAPER, UT 84020-2112
- **Practice address phone:** (801) 874-4954
- **Practice address fax:** (888) 571-6267
- **Mailing address:** 12481 S FORT ST STE 150, DRAPER, UT 84020-2112
- **Mailing address phone:** (801) 874-4954
- **Mailing address fax:** (888) 571-6267

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 01/16/2024
- **Last updated:** 08/13/2024