Organization
CHAD CHRISTIANSEN, MD, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHAD K CHRISTIANSEN MD (OWNER/PHYSICIAN)
(801) 712-7328
Entity
Organization
Contact information
Practice address
3191 N CANYON RD, PROVO, UT 84604-3916
(801) 712-7328
Mailing address
3191 N CANYON RD, PROVO, UT 84604-3916
(801) 712-7328
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
7471541-1205
UT
Other
Enumeration date
05/23/2013
Last updated
05/23/2013
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