Individual
DR. JORDAN LEE WALLIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
446 S MALL DR STE B1, ST GEORGE, UT 84790-4945
(435) 627-8150
(435) 580-4028
Mailing address
446 S MALL DR STE B1, ST GEORGE, UT 84790-4945
(435) 627-8150
(435) 580-4028
Taxonomy
Speciality
Code
Description
License number
State
207YX0905X
Otolaryngology/Facial Plastic Surgery Physician
Primary
11043029-1205
UT
Other
Enumeration date
11/09/2007
Last updated
01/02/2025
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