Dr SHADRICK W TILLOTSON is a male medical professional, specializing in Nurse Practitioner. He graduated in 2015.
CARBON MEDICAL SERVICE ASSOCIATION INCORPORATED
305 CTR ST
EAST CARBON
UT
845200930
Tel: 4358884411
| Npi | 1528514809 |
| Pac Id | 6709168073 |
| Professional Enrollment Id | I20170120001879 |
| Last Name | TILLOTSON |
| First Name | SHADRICK |
| Middle Name | W |
| Suffix | |
| Gender | M |
| Credential | |
| Medical School Name | OTHER |
| Graduation Year | 2015 |
| Primary Specialty | NURSE PRACTITIONER |
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| Organization Legal Name | CARBON MEDICAL SERVICE ASSOCIATION INCORPORATED |
| Group Practice Pac Id | 4183535115 |
| Number Of Group Practice Members | 7 |
| Line 1 Street Address | 305 CTR ST |
| Line 2 Street Address | |
| Marker Of Address Line 2 Suppression | |
| City | EAST CARBON |
| State | UT |
| Zip Code | 845200930 |
| Phone Number | 4358884411 |
| Hospital Affiliation Ccn 1 | 460011 |
| Hospital Affiliation Lbn 1 | CASTLEVIEW HOSPITAL |
| Hospital Affiliation Ccn 2 | |
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| Professional Accepts Medicare Assignment | Y |
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