Individual
TYSON CHRISTENSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2300 E 30TH ST STE 101, FARMINGTON, NM 87401-8990
(505) 327-1400
(505) 564-3202
Mailing address
2300 E 30TH ST STE 101, FARMINGTON, NM 87401-8990
(505) 327-1400
(505) 564-3202
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
MD2020-0090
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
008528
—
AZ
05
—
70955743
—
NM
Enumeration date
07/01/2014
Last updated
03/24/2023
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