Individual
CHRISTA MARIE MCENERNEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
75 STATE ST FL 26, BOSTON, MA 02109-1827
(855) 635-1393
Mailing address
7214 W TETHER TRL, PEORIA, AZ 85383-7341
(515) 864-6562
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
6883
AZ
Other
Enumeration date
06/02/2013
Last updated
05/01/2023
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