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Individual
DR. SCOTT L CHRISTENSEN
Active
Individual
DR. SCOTT L CHRISTENSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
M7991
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000010028712
BLUE SHIELD
ID
01
—
37184
BLUE CROSS
ID
05
—
805748600
—
ID
Enumeration date
06/29/2006
Last updated
07/08/2007
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