Individual
CRISTINA BERKHOLDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
30 N 1900 E, SALT LAKE CITY, UT 84132-0002
(801) 585-6140
Mailing address
1095 16TH ST APT 2, OGDEN, UT 84404-7661
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
10523301-1206
UT
363AS0400X
Surgical Physician Assistant
Primary
10523301-1206
UT
Other
Enumeration date
10/18/2017
Last updated
10/21/2021
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