Individual
BRETT JAMES CHRISTENSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
3192 WILLOW CREEK RD, PRESCOTT, AZ 86301-6610
(928) 445-1234
(928) 778-3999
Mailing address
855 W SOUTHERN AVE APT 1009, MESA, AZ 85210-5038
(435) 406-9185
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPT-002269
AZ
Other
Enumeration date
02/22/2018
Last updated
12/05/2018
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