Individual
CODY R CHRISTENSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1180 COLLEGE DR, ROCK SPRINGS, WY 82901-5863
(307) 362-4200
(307) 362-5406
Mailing address
PO BOX 1359, ROCK SPRINGS, WY 82902-1359
(307) 362-4200
(307) 362-4206
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
10929A
WY
208800000X
Urology Physician
5101020010
MI
Other
Enumeration date
06/19/2012
Last updated
01/21/2020
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