Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Desert Bloom Plastic Surgery LLC

Organization Medical Specialty Clinic/Center · NPI 1235691510

Desert Bloom Plastic Surgery LLC is a Medical Specialty Clinic/Center in St George, Utah. Registered with an NPI since 2019.

In the registry since
2019
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

446 S Mall Dr Ste 1
St George, UT 84790-4944
Phone: (435) 627-8150
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Specialty Clinic/Center (primary) Taxonomy 261QM2500X

Record details

NPI number1235691510
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jordan Wallin — President · (435) 627-8150
NPI enumeratedApril 4, 2019
Last updated in NPPESJanuary 2, 2025
Certification dateJanuary 2, 2025
Mailing address446 S Mall Dr Ste 1, St George, UT 84790-4944

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