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DR. CRYSTAL BRENNEN WALLENTINE M.D. NPI 1003060815


NPI Information

NPI: 1003060815
Provider Name: DR. CRYSTAL BRENNEN WALLENTINE, M.D.
Classification: Internal Medicine - 207R00000X
Entity Type: Individual
Address:
1937 E SAINT MARYS DR
SLC, UT
ZIP 84108
Phone: (801) 865-0549
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DR. Crystal Brennen Wallentine, M.D. is an internal medicine in Slc, UT. The provider is a physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. DR. Crystal Brennen Wallentine, M.D. NPI is 1003060815. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1937 E SAINT MARYS DR
SLC, UT
ZIP 84108-245
Phone: (801) 865-0549

The enumeration date for this NPI number is 11/6/2008 and was last updated on 1/7/2023.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207R00000XInternal Medicine3613633-1205UTAHYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.