Doctor Name: | DR. CHRISTINA R BJORNSTAD |
NPI Number: | 1003866765 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.D. |
License Number: | M3283 |
Business Practice Address: | 625 6th Ave Lewiston, ID - 835019999 |
Business Phone Number: | 2087438226 |
Business Fax Number: | 2087462069 |
Mailing Address: | 625 6th Ave, LEWISTON |
State: | ID |
Postal Code: | 835019999 |
Phone Number: | 2087438226 |
Fax Number: | 2087462069 |
NPI Enumeration Date: | 05/11/2006 |
NPI Last Update Date: | 04/16/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 207QA0505X |
License Number: | M3283 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | ID |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Family Medicine |
Taxonomy Specialization: | Adult Medicine |
Taxonomy Definition: |