Individual
TODD RUSSELL CHRISTIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CAA
Contact information
Practice address
1850 STATE ST, NEW ALBANY, IN 47150-4990
(812) 945-3916
Mailing address
8607 WESTOVER DR, PROSPECT, KY 40059-9483
(615) 975-3899
Taxonomy
Speciality
Code
Description
License number
State
367H00000X
Anesthesiologist Assistant
75000026A
IN
367H00000X
Anesthesiologist Assistant
Primary
AA643
FL
Other
Enumeration date
01/08/2018
Last updated
05/13/2021
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