Individual
JEFFREY JOHN CHRISTIANSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
R.T. (R) (T), CMD
Contact information
Practice address
1617 17TH AVE S, GREAT FALLS, MT 59405-4738
(406) 761-1353
Mailing address
1617 17TH AVE S, GREAT FALLS, MT 59405-4738
Taxonomy
Speciality
Code
Description
License number
State
2471R0002X
Radiation Therapy Radiologic Technologist
Primary
2016
MT
Other
Enumeration date
03/22/2007
Last updated
07/08/2007
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