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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. CRYSTAL BRENNEN WALLENTINE, M.D.

Active Sole Proprietor

DR. CRYSTAL BRENNEN WALLENTINE, M.D. is a Internal Medicine healthcare provider located in SLC, Utah. NPI 1003060815 is currently active in the NPPES registry. Verify at CMS.

Internal Medicine · SLC, UT

Registration Details

NPI Number
1003060815
Provider Type
Individual
Gender
Female
NPI Issued
Nov 6, 2008 (17.725365199745 yrs)
Last Updated
Jan 7, 2023
License
3613633-1205 (UT)
Sole Proprietor
Yes

Practice Information

Address
1937 E SAINT MARYS DR
SLC, UT, 841082245
Browse UT providers · Browse ZIP 84108
Phone
8018650549
Primary Specialty
Internal Medicine
207R00000X

Other Internal Medicine Providers in SLC, UT

Name Credential NPI
YONG HUI AHN MD 1427023571
DR. STEPHANIE A CARNEY MD 1013958438
BEVERLY CHANG MD 1780600973
RICHARD SUN KYU KWAN ROSE MD 1447272323
CAROLE A BARALDI MD 1891704698
DR. KATHERINE ALISA ANDERSON M.D. 1326221540
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.