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Individual
CHRISTINE CHEN
Active
Individual
CHRISTINE CHEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
4919058-1205
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
107009154102
IHC
UT
01
—
2000395
UNITED HEALTHCARE
UT
05
—
401765
—
MT
05
—
489642
—
AZ
01
—
64594
PEHP
UT
01
—
690869
DESERET MUTUAL
UT
01
—
93492
HEALTHY U
UT
01
—
PRA05746
MOLINA
UT
01
—
QM0000051257
ALTIUS
UT
Enumeration date
08/20/2006
Last updated
07/08/2007
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