National Provider Identifier Database

ADAM WAHLSTROM, D.O – NPI #1881010023
Adolescent Medicine

A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs.


Contact Information

ADAM WAHLSTROM, D.O
1240 E 100 S
SAINT GEORGE, UT84790-3001
Phone: 801-448-8619
Fax:
Website:
Specialty Taxonomy Code
* Adolescent Medicine 2080A0000X

* Indicates primary specialty

NPI Profile & details for ADAM WAHLSTROM

NPI Number 1881010023
Credentials D.O
Entity Individual
Enumeration date 03/12/2014
Last updated 03/07/2023 - About 3 years ago
Sole proprietor1 Yes
Identifiers
  • UT License #: 10389523-1204
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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