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DR. CRYSTAL BRENNEN WALLENTINE M.D.
NPI 1003060815
Internal Medicine in Slc, UT

Active since November 06, 2008
1937 E SAINT MARYS DR, SLC, UT 84108(801) 865-0549 Get Directions Write a Review

NPPES record last updated: January 7, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Crystal Brennen Wallentine M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. CRYSTAL BRENNEN WALLENTINE M.D. (NPI 1003060815) is an individual internal medicine provider in Slc, Utah, licensed in Utah (3613633-1205) and active in the NPI registry since November 2008. She maintains a secondary practice location in Slc.

NPPES Registry Identity

NPI1003060815
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameDR. CRYSTAL BRENNEN WALLENTINECredential: M.D.
Location Address1937 E SAINT MARYS DRSlc, UT 84108-2245
Mailing Address1937 E Saint Marys DrSlc, UT 84108-2245 · (801) 865-0549
Phone(801) 865-0549
Sole ProprietorYes
Enumeration DateNovember 6, 2008
Last NPPES UpdateJanuary 7, 2023
NPPES CertifiedJanuary 7, 2023
✔ NPI 1003060815 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in UT · 3613633-1205
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
1937 E SAINT MARYS DR, Slc, UT 84108
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Secondary Practice Location 1

Location 1University Of Utah Dept Of Anesthesiology, 30 North 1900 East Room 3C444Slc, UT 84132-0001 · Phone (801) 793-4807 · Fax (801) 585-2507

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Crystal Wallentine's NPI number?

The NPI number for Crystal Wallentine is 1003060815. It was assigned to this individual provider in the NPPES registry on November 6, 2008.

Where is Crystal Wallentine located?

Crystal Wallentine practices at 1937 E Saint Marys Dr, Slc, UT 84108. The listed phone number is (801) 865-0549.

What is Crystal Wallentine's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

When was this NPI record last updated?

The NPPES record for Crystal Wallentine was last updated on January 7, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.