Individual
STEVEN L WALLENTINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1055 N 500 W, SUITE 202, PROVO, UT 84604-3305
(801) 374-2367
(801) 429-8015
Mailing address
1055 N 500 W, ATTN: CREDENTIALING, PROVO, UT 84604-3305
(801) 354-8225
(801) 418-0941
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
60986311205
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
107046686101
IHC
UT
01
—
285195
ALTIUS
UT
01
—
36-00187
UHC
UT
01
—
6098631120000
BCBS
UT
05
—
870281028000
—
UT
01
—
87028102800B
EMIA
UT
01
—
88780
PEHP
UT
01
—
933849
DMBA
UT
01
—
I62333
UPIN
UT
01
—
P00345446
PALMETTO
UT
Enumeration date
05/12/2006
Last updated
11/27/2023
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us