Individual
BRYAN STILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
50 N MEDICAL DR, SALT LAKE CITY, UT 84132-0001
(801) 581-2121
Mailing address
30 N 1900 E RM 4C116, SALT LAKE CITY, UT 84132-0002
(801) 581-7606
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
11405516-1205
UT
207RH0000X
Hematology (Internal Medicine) Physician
Primary
11405516-1205
UT
Other
Enumeration date
03/21/2018
Last updated
11/23/2021
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