Organization
CHRISTENSEN OPTOMETRY A PROFESSIONAL LIMITED LIABILITY COM
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. NATHAN RICHARD CHRISTENSEN OD (DOCTOR)
(801) 657-0061
Entity
Organization
Contact information
Practice address
1905 S 300 W, SALT LAKE CITY, UT 84115-1806
(801) 478-2745
Mailing address
11223 TRENT DR, SOUTH JORDAN, UT 84095-4005
(801) 657-0061
Taxonomy
Speciality
Code
Description
License number
State
302F00000X
Exclusive Provider Organization
Primary
7044278-9934
UT
Other
Enumeration date
01/08/2009
Last updated
02/04/2009
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