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Individual

SHELLY SAVAGE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD, LLC

Contact information

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

Taxonomy

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

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
01-01807
UNITED HEALTHCARE
UT
01
107008791102
INTERMOUNTAIN HEALTHCARE
UT
01
216829
EMIA
UT
01
47754071201001
BCBS OF UTAH
UT
01
68627
PEHP
UT
01
731282
DMBA
UT
Enumeration date
01/16/2007
Last updated
04/09/2020
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