Organization
JOHN M CHRISTIANSEN MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CECILIA COLLADO (OFFICE MANAGER)
(719) 632-0264
Entity
Organization
Contact information
Practice address
555 E PIKES PEAK AVE, SUITE102, COLORADO SPRINGS, CO 80903-3641
(719) 632-0264
Mailing address
555 E PIKES PEAK AVE, SUITE 102, COLORADO SPRINGS, CO 80903-3641
(719) 632-0264
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
20417
CO
Other
Enumeration date
11/02/2006
Last updated
12/11/2007
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