Individual
DR. ROB MATTHEW CHRISTENSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
1905 N 14TH AVE, DODGE CITY, KS 67801-2304
(620) 227-5433
Mailing address
1911 ELBOW BND, DODGE CITY, KS 67801-2941
(620) 338-3949
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1545
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
053992
BLUE CROSS BLUE SHIELD KS
KS
01
—
481222465
TAXPAYER ID
KS
Enumeration date
08/31/2006
Last updated
07/08/2007
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