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

Dr. Crystal Brennen Wallentine, MD

Individual provider Internal Medicine Physician · NPI 1003060815

Dr. Crystal Brennen Wallentine, MD is an Internal Medicine Physician in Slc, Utah. Practices as a sole proprietor and works from 2 locations. Licensed in Utah.

Licensed in
UT
In the registry since
2008
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

1937 E Saint Marys Dr
Slc, UT 84108-2245
Phone: (801) 865-0549
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • University Of Utah Dept Of Anesthesiology, Slc, UT 84132-0001 — (801) 793-4807

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence 3613633-1205 (UT)

Record details

NPI number1003060815
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorYes
NPI enumeratedNovember 6, 2008
Last updated in NPPESJanuary 7, 2023
Certification dateJanuary 7, 2023

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