Individual
SAMUEL CHRISTENSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
25 N 100 E STE 102, ST GEORGE, UT 84770-7369
(435) 986-2565
Mailing address
25 N 100 E STE 102, ST GEORGE, UT 84770-7369
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
11539237-1204
UT
Other
Enumeration date
06/19/2017
Last updated
06/30/2020
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