IndividualActive
Adam Wahlstrom, D.O
NPI 1881010023 · Pediatric Adolescent Medicine Physician · St George, UT
Provider details
- NPI number
- 1881010023
- Entity type
- Individual
- Primary specialty
- Pediatric Adolescent Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- D.O
- Sex
- Male
- Sole proprietor
- Yes
- License
- 10389523-1204 (UT)
Mailing address
1240 E 100 S
St George, UT 84790-3001
Registry dates
- Enumerated
- 2014-03-12
- Last updated
- 2023-03-07
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.