Individual
ERICA TRACY STILLNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
100 N MEDICAL DR, PRIMARY CHILDREN'S MEDICAL CENTER, SALT LAKE CITY, UT 84113-1103
(206) 849-8276
Mailing address
100 N MEDICAL DR, PRIMARY CHILDREN'S MEDICAL CENTER, SALT LAKE CITY, UT 84113-1103
(206) 849-8276
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
63532381205
UT
Other
Enumeration date
10/11/2007
Last updated
10/11/2007
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