Individual
MR. TIMOTHY JOSEPH CRISTMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
476 WILLIAMS WAY, MOAB, UT 84532-2186
(435) 719-3500
Mailing address
450 WILLIAMS WAY, MOAB, UT 84532-2185
(435) 719-3500
(435) 719-3549
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA10004057
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1000559
—
WA
05
—
1023062692
—
UT
Enumeration date
05/19/2006
Last updated
11/28/2022
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