Individual
SCOTT K CHRISTENSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3580 W 9000 S, WEST JORDAN, UT 84088-8812
(801) 561-8888
Mailing address
PO BOX 58202, SALT LAKE CITY, UT 84158-0202
(801) 583-3395
(801) 583-2175
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
781622081205
UT
207LP3000X
Pediatric Anesthesiology Physician
781622081205
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
050087245
MEDICARE A
UT
01
—
353638700
US DEPT LABOR
UT
01
—
5177981
CCN
UT
01
—
87042
UPRR
UT
01
—
870484603CHR
EDUCATOR MUTUAL
UT
01
—
QM0000054602
ALTIUS
UT
Enumeration date
06/30/2006
Last updated
08/27/2010
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