NPI 1811177652

Jordan Lee Wallin, MD

Practitioner Otolaryngology/Facial Plastic Surgery Physician St George, UT

Practice location

Address: 446 S Mall Dr STE B1, St George, UT 84790-4945
Phone: (435) 627-8150
Fax: (435) 580-4028

Registered specialties

Otolaryngology/Facial Plastic Surgery Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207YX0905X Licence 11043029-1205 (UT)

Other Otolaryngology providers in Utah →

Registry record

NPI: 1811177652
Entity type: Individual
Sex (as registered): Male
NPI issued: 9 Nov 2007
Record last updated: 2 Jan 2025

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.