IndividualActive
Steven Wallentine, MD
NPI 1790736122 · Hematology & Oncology Physician · Provo, UT
Provider details
- NPI number
- 1790736122
- Entity type
- Individual
- Primary specialty
- Hematology & Oncology PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- 60986311205 (UT)
Practice location
1055 N 500 W
Suite 202
Provo, UT 84604-3305
Phone: (801) 374-2367
Fax: (801) 429-8015
Mailing address
1055 N 500 W
Provo, UT 84604-3305
Registry dates
- Enumerated
- 2006-05-12
- Last updated
- 2023-11-27
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.