Individual
CHAD MORGAN ROSS CHRISTENSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
2101 N WATERMAN AVE, SAN BERNARDINO, CA 92404-4836
(909) 883-8711
Mailing address
2216 EL CAPITAN DR, RIVERSIDE, CA 92506-4614
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
21126
CA
Other
Enumeration date
09/10/2010
Last updated
09/10/2010
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