Jeffrey M Wallentine is a Orthopedic Surgery Physician based in Provo, UT. Jeffrey M Wallentine practices in Provo, UT and has the professional credentials of MD. The NPI Number for Jeffrey M Wallentine is 1124121934 and holds a License No. 356423-1205 (Utah).
The current practice location address for Jeffrey M Wallentine is 1055 N 500 W, Provo, UT and can be reached out via phone at 801-373-7350 and via fax at 801-812-5401. You can also correspond with Jeffrey M Wallentine through the mailing address at 1055 N 500 W, PROVO, UT - 84604-3305 (mailing address contact number: 801-354-8225).
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 107008449102 | 01 | UT | IHC |
| 68080 | 01 | UT | PEHP |
| 09-00180 | 01 | UT | UTAH HEALTHCARE |
| 344490 | 01 | UT | DMBA |
| 870281028000 | 05 | UT | |
| QM000056640 | 01 | UT | ALTIUS |
| 200045124 | 01 | UT | PALMETTO |
| 870281028WAL | 01 | UT | EMIA |
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