Organization
GRANT L CHRISTIAN MD A PROFESSIONAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GRANT L CHRISTIAN MD (OWNER)
(801) 292-1422
Entity
Organization
Contact information
Practice address
425 MEDICAL DR STE 118, BOUNTIFUL, UT 84010-8914
(801) 292-1422
(801) 296-0436
Mailing address
425 MEDICAL DR STE 118, BOUNTIFUL, UT 84010-8914
(801) 292-1422
(801) 296-0436
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
1497971205
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
107005467101
IHC
UT
05
—
528443301003
—
UT
01
—
OMXAF02632
ALTIUS
UT
Enumeration date
01/21/2008
Last updated
11/20/2017
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