Organization Name: | VERN M. CHRISTENSEN, DPM |
NPI Number: | 1376776435 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | VERN M CHRISTENSEN (OWNER) |
Mailing Address: | 1107 Earl Frye Blvd Suite 2 Amory |
State: | MS US |
Postal Code: | 388215519 |
Phone Number: | 6622572357 |
Fax Number: | 6622572399 |
NPI Enumeration Date: | 08/24/2009 |
NPI Last Update Date: | 08/24/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 213ES0131X |
License Number: | 80197 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | MS |
Taxonomy Type: | Podiatric Medicine & Surgery Service Providers |
Taxonomy Classification: | Podiatrist |
Taxonomy Specialization: | Foot Surgery |
Taxonomy Definition: |