Individual
DR. BRETT S. WALLIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
1380 E MEDICAL CENTER DR, ST GEORGE, UT 84790-2123
(435) 251-2992
Mailing address
PO BOX 27128, SALT LAKE CITY, UT 84127-0128
(435) 656-3325
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
01068450A
IN
207R00000X
Internal Medicine Physician
Primary
7984164-1205
UT
207R00000X
Internal Medicine Physician
81245
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201004220
—
IN
Enumeration date
06/25/2007
Last updated
06/02/2025
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