Individual
DR. BRENT JAMES CHRISTENSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
324 10TH AVE, SALT LAKE CITY, UT 84103-2865
(801) 408-7660
(801) 408-7650
Mailing address
PO BOX 27128, SALT LAKE CITY, UT 84127-0128
(801) 408-7660
(801) 408-7650
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
1808151205
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
942854057029
—
UT
Enumeration date
05/31/2006
Last updated
06/26/2009
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