Individual
MR. ADAM CODY CHRISTIANSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
12391 S 4000 W, RIVERTON, UT 84096-7012
(801) 302-1700
Mailing address
7181 S CAMPUS VIEW DR STE 200, WEST JORDAN, UT 84084-4312
(801) 965-3505
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
11410993-1206
UT
Other
Enumeration date
10/08/2018
Last updated
06/01/2022
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