Organization
WALTER S MEDLIN MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WALTER SCOTT EDWARDS MEDLIN (OWNER)
(406) 238-2500
Entity
Organization
Contact information
Practice address
1046 E 100 S STE A, SALT LAKE CITY, UT 84102-1520
(801) 746-2885
(801) 746-2886
Mailing address
1046 E 100 S # A, SALT LAKE CITY, UT 84102-1520
(855) 655-7389
(801) 931-2044
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
—
Other
Enumeration date
07/10/2019
Last updated
06/20/2023
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