DR. Crystal Brennen Wallentine, M.D.

NPI #1003060815 in Slc, Utah

Provider Information

NPI Number: 1003060815
Entity Type: Individual
Name: DR. Crystal Brennen Wallentine, M.D.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Internal Medicine
Credential: M.D.
Enumeration Date: Nov 6, 2008
Last Updated: Jan 7, 2023

Practice Location

Address: 1937 E SAINT MARYS DR
City: Slc
State: Utah
ZIP Code: 84108-2245
Phone: (801) 865-0549

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary

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