DESERT VISTA INTERNAL MEDICINE PC
Osteopathic Medicine at Riverside Dr, Saint George, UT

License number
Utah 7984164-1205
Category
Osteopathic Medicine
Type
Internal Medicine
Owner
Name: BRETT SAMUEL WALLIN MD
Title: PRESIDENT
Phone: (602) 672-2628
Address
Address
368 E Riverside Dr, Saint George, UT 84790
National Provider ID: 1003163361
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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DESERT VISTA INTERNAL MEDICINE, PC

368 E Riverside Dr #3B, Saint George, UT 84790

Industry:
Medical Doctor's Office
Doing business as:
Desert Vista Internal Medicine
Registration:
May 1, 2012
Phone:
(435) 656-3324 (Phone)
State ID:
8311404-0144
Business type:
Corporation - Professional
Agent:
John S Bradley,111 E Broadway 11, Salt Lake City, UT 84111 (Physical)
Categories:
Family & General Practice Physicians & Surgeons, Internal Medicine Physicians & Surgeons, Physicians & Surgeons

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