NPI 1003060815

Crystal Brennen Wallentine, MD

Practitioner Internal Medicine Physician Slc, UT

Practice location

Address: 1937 E Saint Marys Dr, Slc, UT 84108-2245
Phone: (801) 865-0549

Registered specialties

Internal Medicine Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207R00000X Licence 3613633-1205 (UT)

Other Internal Medicine providers in Utah →

Registry record

NPI: 1003060815
Entity type: Individual
Sex (as registered): Female
NPI issued: 6 Nov 2008
Record last updated: 7 Jan 2023

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.