Individual
DR. CHRISTOPHER FUNK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
3130 S HIGHLAND DR STE B4, SALT LAKE CITY, UT 84106-3095
(801) 253-6886
(385) 900-5928
Mailing address
280 S MAIN ST, BOUNTIFUL, UT 84010-6236
(801) 505-0821
(801) 505-0803
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
0542
AZ
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
374325-0501
UT
213ES0103X
Foot & Ankle Surgery Podiatrist
P-289
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0273985001
CIGNA
AZ
01
—
1Z5936
HEALTHNET
AZ
01
—
374328-0501
LICENSE
UT
01
—
480032647
RAILROAD MEDICARE
AZ
01
—
7156240
AETNA
AZ
01
—
AZ0194180
BLUE CROSS BLUE SHIELD
AZ
Enumeration date
10/31/2005
Last updated
07/23/2024
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