Desert Vista Internal Medicine PC

NPI #1003163361 in Saint George, Utah

Provider Information

NPI Number: 1003163361
Entity Type: Organization
Organization Name: Desert Vista Internal Medicine PC
Primary Specialty: Internal Medicine
Enumeration Date: Aug 6, 2012
Last Updated: Aug 6, 2012

Practice Location

Address: 368 E RIVERSIDE DR
Address 2: 3B
City: Saint George
State: Utah
ZIP Code: 84790-6896
Phone: (435) 656-3324

Authorized Official

Name: BRETT SAMUEL WALLIN, MD
Title: PRESIDENT
Phone: (602) 672-2628

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary

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