Individual
MR. CHRISTIAN JAMES TIMOTHY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
117 W 400 S, SALT LAKE CITY, UT 84101-1916
(385) 200-0110
Mailing address
117 W 400 S, SALT LAKE CITY, UT 84101-1916
(385) 200-0110
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
F25-117084
UT
Other
Enumeration date
06/10/2026
Last updated
06/10/2026
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