Individual
MARK SHILLINGTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
UNIVERSITY OF UT ANESTHESIOLOGY DEPARTMENT, 50 N MEDICAL DRIVE, SALT LAKE CITY, UT 84132-0100
(801) 581-6393
Mailing address
U-U ANESTHESIOLOGY DEPARTMENT SCHOOL OF MEDICINE, PO BOX 413034, SALT LAKE CITY, UT 84141-3034
(801) 213-3900
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
8153320-1205
UT
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/29/2010
Last updated
05/07/2014
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