Individual
MRS. CHRISTIN ANNE VAN DINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C, MPAS
Contact information
Practice address
1750 SIDEWINDER DR, PARK CITY, UT 84060-7570
(435) 649-7640
(435) 645-7768
Mailing address
PO BOX 27128, SALT LAKE CITY, UT 84127-0128
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
8084029-1206
UT
363AS0400X
Surgical Physician Assistant
—
—
Other
Enumeration date
08/22/2011
Last updated
03/07/2024
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