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Individual

DR. ROB DEE CHRISTENSEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
O.D.

Contact information

Practice address
1410 BROADWAY AVE, BOISE, ID 83706-3706
(208) 433-1410
(208) 433-1403
Mailing address
3045 E ST LUKES ST, STE 100, MERIDIAN, ID 83642-3507
(208) 433-1410
(208) 433-1403

Taxonomy

Speciality
Code
Description
License number
State
152WC0802X
Corneal and Contact Management Optometrist
Primary
ODP-100054
ID

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
807022800
ID
Enumeration date
08/22/2007
Last updated
03/23/2017
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