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Steven L Wallentine, MD
Hematology & Oncology Physician in Provo, Utah
NPI 1790736122

Steven L Wallentine is a Hematology & Oncology Physician based in Provo, UT and is specialized in Hematology & Oncology. Steven L Wallentine practices in Provo, UT and has the professional credentials of MD. The NPI Number for Steven L Wallentine is 1790736122 and holds a License No. 60986311205 (Utah).

The current practice location address for Steven L Wallentine is 1055 N 500 W, Provo, UT and can be reached out via phone at 801-374-2367 and via fax at 801-429-8015.

Location: 1055 N 500 W, Provo, UT, 84604-3305
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Provider Profile Details
NPI Number
1790736122
Provider Name
Steven L Wallentine
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
1055 N 500 W, Provo, UT, 84604-3305
Phone Number
801-374-2367
Fax Number
801-429-8015
Provider Enumeration Date
05/12/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
87028102800B 01 UT EMIA
870281028000 05 UT
88780 01 UT PEHP
933849 01 UT DMBA
P00345446 01 UT PALMETTO
I62333 01 UT UPIN
36-00187 01 UT UHC
107046686101 01 UT IHC
285195 01 UT ALTIUS
6098631120000 01 UT BCBS
institution
Provider Business Practice Location Address Details
Address
1055 N 500 W
City
State
Zip
84604-3305
Phone Number
801-374-2367
Fax Number
801-429-8015
person
Provider Business Mailing Address Details
Address
1055 N 500 W
City
State
Zip
84604-3305
Phone Number
801-374-2367
Fax Number
801-429-8015
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Internal Medicine
Speciality
Hematology & Oncology
Taxonomy
License No.
60986311205 (Utah)
Definition
An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.
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