Individual
HOWARD K. CHRISTIANSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
807 CHILDRENS WAY, JACKSONVILLE, FL 32207-8426
(904) 697-3032
Mailing address
825 BAYTREE LN, PONTE VEDRA BEACH, FL 32082-4164
(617) 680-0053
Taxonomy
Speciality
Code
Description
License number
State
2085P0229X
Pediatric Radiology Physician
Primary
8125153-1205
UT
2085R0202X
Diagnostic Radiology Physician
8125153-1205
UT
Other
Enumeration date
05/06/2008
Last updated
08/23/2023
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