Jordan Lee Wallin (NPI# 1811177652, PAC ID# 8729235999) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OTOLARYNGOLOGY.
| Nation Provider ID (NPI) | 1811177652 |
| PAC ID by PECOS | 8729235999 |
| Professional Enrollment ID | I20190723003845 |
| Full Name | Jordan Lee Wallin |
| Address |
446 S Mall Dr Suite B1 St George UT 84790-4945 |
| Gender | M |
| Medical School | GEORGE WASHINGTON UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 2017 |
| Primary Specialty | OTOLARYNGOLOGY |
| Secondary Specialties | MAXILLOFACIAL SURGERY |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 460021 | DIXIE REGIONAL MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 446 S Mall Dr, Suite B1, St George, UT 84790-4945 |
| Street Address |
446 S MALL DR SUITE B1 |
| City | ST GEORGE |
| State | UT |
| Zip | 84790-4945 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| James H Andersen | Chiropractic | Life Balance Clinic | 446 S Mall Dr, St George, UT 84790-4945 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Judith S Sampson | Nurse Practitioner | Ihc Health Services Inc | 652 S Medical Ctr Dr, 320 Sw Neurololgy Assoc, St George, UT 84790 |
| Joseph Aaron Smith | Optometry | 599 S Mall Dr, Spc K1, St George, UT 84790-1258 | |
| Andrew P White | Chiropractic | 435 N 1680 E, 6 Innova Pain Clinic, St George, UT 84790-1448 | |
| Bruce C Solomon | Clinical Social Worker | 2298 E 200, St George, UT 84790-1603 | |
| Justin W Salmon | Chiropractic | Stoneridge Chiropractic | 107 S 1470 E, 102 Stoneridge Chiro LLC, Saint George, UT 84790-1747 |
| Brian T Richey | Chiropractic | Stoneridge Chiropractic | 107 S 1470 E, 102 Stoneridge Chiro LLC, Saint George, UT 84790-1747 |
| Torrence Brock Kesterson | Chiropractic | Stoneridge Chiropractic | 107 S 1470 E, 102 Stoneridge Chiro LLC, Saint George, UT 84790-1747 |
| Joshua L Frame | Internal Medicine | Southwest Internal Medicine, P. C. | 292 S 1470, Suite 100, St George, UT 84790-1764 |
| Jason C Swigert | Internal Medicine | Southwest Internal Medicine, P. C. | 292 S 1470, St George, UT 84790-1764 |
| Grace J Paradela | Internal Medicine | Grace Paradela Md PC | 292 S 1470, Suite 200, St George, UT 84790-1764 |
| Find all physicians in zip 84790 | |||
| City | ST GEORGE |
| Zip Code | 84790 |
| Specialty | OTOLARYNGOLOGY |
| City + Specialty | ST GEORGE + OTOLARYNGOLOGY |
Please comment or provide details below to improve the information on Jordan Lee Wallin.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.