Provider Demographics
NPI:1437143351
Name:SHUTTS-KARJOLA, MEGAN M (MD)
Entity Type:Individual
Prefix:DR
First Name:MEGAN
Middle Name:M
Last Name:SHUTTS-KARJOLA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:196 E 2000 N
Mailing Address - Street 2:SUITE 107
Mailing Address - City:TOOELE
Mailing Address - State:UT
Mailing Address - Zip Code:84074-9335
Mailing Address - Country:US
Mailing Address - Phone:435-843-3678
Mailing Address - Fax:435-833-9829
Practice Address - Street 1:196 E 2000 N
Practice Address - Street 2:SUITE 107
Practice Address - City:TOOELE
Practice Address - State:UT
Practice Address - Zip Code:84074-9335
Practice Address - Country:US
Practice Address - Phone:435-843-3678
Practice Address - Fax:435-833-9829
Is Sole Proprietor?:No
Enumeration Date:2005-09-07
Last Update Date:2012-10-11
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MS17781207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology