NPI 1003163361

Desert Vista Internal Medicine PC

Organisation Internal Medicine Physician Saint George, UT

Practice location

Address: 368 E Riverside Dr 3b, Saint George, UT 84790-6896
Phone: (435) 656-3324
Fax: (435) 656-3325

Authorised official

Name: Brett Samuel Wallin
Title: President
Phone: (602) 672-2628

Registered specialties

Internal Medicine Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207R00000X Licence 7984164-1205 (UT)

Other Internal Medicine providers in Utah →

Registry record

NPI: 1003163361
Entity type: Organization
NPI issued: 6 Aug 2012
Record last updated: 6 Aug 2012

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.