| Dr Jordan Lee Wallin, MD | |
|
446 S Mall Dr Ste B1, St George, UT 84790-4945 | |
| (435) 627-8150 | |
| (435) 580-4028 |
| Full Name | Dr Jordan Lee Wallin |
|---|---|
| Gender | Male |
| Speciality | Otolaryngology |
| Experience | 8 Years |
| Location | 446 S Mall Dr Ste B1, St George, Utah |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811177652 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207YX0905X | Otolaryngology - Otolaryngology/facial Plastic Surgery | 11043029-1205 (Utah) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Dixie Regional Medical Center | St george, UT | Hospital |
| Entity Name | Desert Bloom Plastic Surgery Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1235691510 PECOS PAC ID: 9638405079 Enrollment ID: O20190723003828 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Jordan Lee Wallin, MD 446 S Mall Dr Ste B1, St George, UT 84790-4945 Ph: (435) 627-8150 | Dr Jordan Lee Wallin, MD 446 S Mall Dr Ste B1, St George, UT 84790-4945 Ph: (435) 627-8150 |
Brandon Cardon, MD Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 617 E Riverside Dr Ste 201, St George, UT 84790 Phone: 435-628-3334 | |
Jerry Marsden, M.D. Otolaryngology Medicare: Not Enrolled in Medicare Practice Location: 1490 E Foremaster Dr, Ste 350, St George, UT 84790 Phone: 435-628-3334 | |
Dr. Kent Eric Gardner, M.D. Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 1490 E Foremaster Dr, Suite 350, St George, UT 84790 Phone: 435-628-3334 Fax: 435-628-3375 |