Individual provider · Type 1 NPI
Jordan Lee Wallin, MD
Otolaryngology/Facial Plastic Surgery Physician · St. George, UT
NPI number
1811177652
Active
Practice location
446 S Mall Dr Ste B1
St. George, UT 84790-4945
Fax (435) 580-4028
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Otolaryngology/Facial Plastic Surgery Physician Primary | 207YX0905X | 11043029-1205 (UT) |
Otolaryngology/Facial Plastic Surgery Physician: An otolaryngologist who specializes in the diagnosis and surgical treatment of head and neck conditions.
Another provider at this address
About NPI 1811177652
Jordan Lee Wallin, MD's National Provider Identifier is 1811177652, issued on Nov 9, 2007. The primary taxonomy on file is Otolaryngology/Facial Plastic Surgery Physician (207YX0905X), and the practice location is in St. George, UT. The record was last updated on Jan 2, 2025.