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1790123321

NPI Code Detail

MEDICARE: CHRISTOPHER JOHN DANFORD MD

MEDICARE: CHRISTOPHER JOHN DANFORD MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207R00000X	Internal Medicine Physician	L-255136	MA
2	207RG0100X	Gastroenterology Physician	11722162-1205	UT
3	207RG0100X	Gastroenterology Physician	264982	MA
4	207RT0003X	Transplant Hepatology Physician	11722162-1205	UT

General Provider Information

NPI Number	:	1790123321
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CHRISTOPHER JOHN DANFORD MD

Provider Business Mailing Address
First Line	:	PO BOX 27128
Second Line	:
City	:	SALT LAKE CITY
State	:	UT
Zip	:	84127-0128
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	5171 S COTTONWOOD ST STE 210
Second Line	:
City	:	MURRAY
State	:	UT
Zip	:	84107-5718
Country	:	US
Telephone Number	:	801-507-3380
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/05/2013
Last Update Date	:	03/10/2025

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Directions to “ CHRISTOPHER JOHN DANFORD MD” Practice Location

Language	Start Address	Practice Location

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