# CHAD CHRISTIANSEN, MD, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1518304088
- **Authorized official:** DR. CHAD K CHRISTIANSEN MD (OWNER/PHYSICIAN)
- **Authorized official phone:** (801) 712-7328

## Contact information

- **Practice address:** 3191 N CANYON RD, PROVO, UT 84604-3916
- **Practice address phone:** (801) 712-7328
- **Mailing address:** 3191 N CANYON RD, PROVO, UT 84604-3916
- **Mailing address phone:** (801) 712-7328

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207L00000X | Anesthesiology Physician | 7471541-1205 | UT | Yes |

## Other

- **Enumeration date:** 05/23/2013
- **Last updated:** 05/23/2013