# SHELLY SAVAGE M D LLC

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

## Provider details

- **NPI number:** 1669652343
- **Authorized official:** SHELLY SAVAGE MD (OWNER)
- **Authorized official phone:** (801) 373-2001

## Contact information

- **Practice address:** 1900 N STATE ST, PROVO, UT 84604-1341
- **Practice address phone:** (801) 373-2001
- **Practice address fax:** (801) 373-4748
- **Mailing address:** 1900 N STATE ST, PROVO, UT 84604-1341
- **Mailing address phone:** (801) 373-2001
- **Mailing address fax:** (801) 373-4748

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 4775407-1205 | UT | Yes |

## Other

- **Enumeration date:** 11/09/2007
- **Last updated:** 02/03/2022