Individual
PETER JOEL CHRISTIANSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
3665 S 8400 W STE 110, MAGNA, UT 84044-4907
(801) 250-9638
(801) 250-3204
Mailing address
8247 S MAPLE WATER DR, WEST JORDAN, UT 84081-5737
(801) 448-9989
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
11558572-1206
UT
363AM0700X
Medical Physician Assistant
Primary
11558572-1206
UT
Other
Enumeration date
05/12/2020
Last updated
02/27/2021
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