Organization Name: | GARY O. CHRISTENSEN M.D. A PROFESSIONAL CORPORATION |
NPI Number: | 1487946554 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | GARY CHRISTENSEN (M.D.) |
Mailing Address: | 6028 S Ridgeline Dr Ste 201a Ogden |
State: | UT US |
Postal Code: | 844056909 |
Phone Number: | 8014756520 |
Fax Number: | 8014757306 |
NPI Enumeration Date: | 05/09/2011 |
NPI Last Update Date: | 06/20/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | 1607821205 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | UT |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |