Jordan Lee Wallin in St George - Otolaryngology
Jordan Lee Wallin - NPI 1811177652
Jordan Lee Wallin is a Otolaryngology in St George, Utah. Jordan Lee Wallin practices all healthcare services and medical treatments related to Otolaryngology. The NPI Number for Jordan Lee Wallin is 1811177652. The last update date is 2019-10-23.
Jordan Lee Wallin's current location address is 446 S Mall Dr Ste B1, St George, Utah. You can contact this provider via phone number 4356278150 and fax number 4355804028. The mailing address for Jordan Lee Wallin is 446 S Mall Dr Ste B1, St George, Utah. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jordan Lee Wallin |
|---|---|
| Address | 446 S Mall Dr Ste B1, St George, Utah |
| Phone Number | 4356278150 |
| Fax Number | 4355804028 |
| Sole Proprietor | Y |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1811177652 |
|---|---|
| Provider Enumeration Date | 2007-11-09 |
| Last Updated Date | 2019-10-23 |
Provider Mailing Address Detail
| Address | 446 S Mall Dr Ste B1 |
|---|---|
| City | St George |
| State | Utah (UT) |
| Post Code | 847904945 |
| Phone Number | 4356278150 |
| Fax Number | 4355804028 |
Provider's Primary Taxonomy Detail
| Speciality | Otolaryngology |
|---|---|
| Taxonomy | 207Y00000X |
| Licence No | 2008-01743 |
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Definition: An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head an |
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Post Comment/ Review Below
What is the Jordan Lee Wallin's 1811177652?
The Jordan Lee Wallin's NPI (National Provider Identifier) Number is 1811177652. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete physical address where Jordan Lee Wallin is located?
The Jordan Lee Wallin is situated at the following address: 446 S Mall Dr Ste B1, St George, UT, 847904945.
What is the Jordan Lee Wallin's specialty and taxonomy code?
The Jordan Lee Wallin's specialty is Otolaryngology, and the corresponding taxonomy code is 207Y00000X.
On what date did the Jordan Lee Wallin receive the assignment of its 1811177652 from the Centers for Medicare & Medicaid Services?
The Jordan Lee Wallin was issued its 1811177652 by the Centers for Medicare & Medicaid Services on 2007-11-09.
As of what date were the Jordan Lee Wallin's details last updated?
The information pertaining to the Jordan Lee Wallin, including its address, specialty, and other details, was most recently updated on 2019-10-23.