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Individual

TREVIN RICHARD WALLIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
2255 N. 1700 W., #100, LAYTON, UT 84041-1140
(801) 773-0690
(801) 773-0697
Mailing address
2255 N. 1700 W., #100, LAYTON, UT 84041-1140
(801) 773-0690
(801) 773-0697

Taxonomy

Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
4301083517
MI

Other

Enumeration date
02/07/2007
Last updated
12/15/2020
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