IndividualActive
Shana Eborn, MD
NPI 1780615658 · Family Medicine Physician · Salt Lake City, UT
Provider details
- NPI number
- 1780615658
- Entity type
- Individual
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Female
- Sole proprietor
- No
- License
- 5945718-1205 (UT)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
2295 Foothill Dr
Salt Lake City, UT 84109-4000
Phone: (801) 486-3021
Fax: (801) 485-6339
Approximate (ZIP-level) locationGet directions
Mailing address
2295 Foothill Dr
Salt Lake City, UT 84109-4000
Registry dates
- Enumerated
- 2006-07-06
- Last updated
- 2019-12-09
- Certified
- 2019-12-09
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.