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Jeremy Wallentine, M.D

NPI 1619130036 · on the registry since 2008 · sole proprietor

Practice

Address
2913 Garden Meadows Cv
Slc, UT 84106
Phone
(801) 865-2442

Registry record

Primary taxonomy
207ZP0102X
207ZP0102X
Licence states on file
UT
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2011-11-09

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Utah