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Individual

ERIC CLAYTON CHRISTENSEN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
2971 WILLOW CREEK RD BLDG 34, PRESCOTT, AZ 86301-4142
(928) 277-8088
(928) 460-5280
Mailing address
3815 E BELL RD STE 4500, PHOENIX, AZ 85032-2171
(602) 633-3848
(602) 633-3841

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
64482
AZ
207R00000X
Internal Medicine Physician
MD193733
OR
390200000X
Student in an Organized Health Care Education/Training Program

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
107409
AZ
01
Q00214136
RAILROAD MEDICARE
AZ
Enumeration date
06/02/2016
Last updated
03/26/2025
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