Individual
DR. CHAD KENT CHRISTIANSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5169 COTTONWOOD ST STE 303, MURRAY, UT 84107-6768
(801) 507-6900
Mailing address
2648 HARTFORD ST, SALT LAKE CITY, UT 84106-3610
(801) 712-7328
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
390200000X
UT
Other
Enumeration date
12/01/2008
Last updated
12/01/2008
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