Individual
ANTHONY R. WALLIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
390 N MAIN ST, BOUNTIFUL, UT 84010-6046
(801) 397-6320
(801) 397-6349
Mailing address
PO BOX 27128, SALT LAKE CITY, UT 84127-0128
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
310508-1205
UT
Other
Enumeration date
09/06/2006
Last updated
09/24/2025
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