Organization
ESSENTIAL INJECTIONS P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SHAD W. TILLOTSON NP (CEO)
(385) 455-3899
Entity
Organization
Contact information
Practice address
4612 N INDEPENDENCE WAY, EAGLE MOUNTAIN, UT 84005-6082
(385) 455-3899
Mailing address
4612 N INDEPENDENCE WAY, EAGLE MOUNTAIN, UT 84005-6082
(385) 455-3899
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
6223314-4405
UT
Other
Enumeration date
03/13/2018
Last updated
03/13/2018
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