Individual
CHRISTOPHER J JENSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2485 CHIEF WILLIAM DR, SUITE 100, FAIRBANKS, AK 99709-4873
(907) 457-5277
(907) 457-5278
Mailing address
2485 CHIEF WILLIAM DR, SUITE 100, FAIRBANKS, AK 99709-4873
(907) 457-5277
Taxonomy
Speciality
Code
Description
License number
State
2086S0105X
Surgery of the Hand (Surgery) Physician
248277
NY
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
248277
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RT 1100
TRAINING LICENSE
NH
Enumeration date
11/02/2006
Last updated
09/05/2014
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