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Contact Information

CHARLES B STILLERMAN, M.D., F.A.C.S.
175 N MEDICAL DR
SALT LAKE CITY, UT84132-6967
 Phone: 801-581-6908
 Fax: 801-581-4385
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Neurological Surgery

207T00000X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for CHARLES B STILLERMAN · (Male)

NPI # 1477628667
Status Active
Credentials M.D., F.A.C.S.
Entity Individual
Enumeration date 11/22/2006
Last updated 02/27/2025 - More than a year ago
Sole proprietor 1 No
Identifiers
  • UT License # 6059746-1205
  • NJ Medicaid 0289043
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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