Healthcare Provider Details

I. General information

NPI: 1710099676
Provider Name (Legal Business Name): CHRISTIAN LAYNE SYBROWSKY MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/31/2006
Last Update Date: 06/30/2026
Certification Date: 06/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9844 S 1300 E STE 100
SANDY UT
84094-4600
US

IV. Provider business mailing address

2965 W 3500 S
WEST VALLEY CITY UT
84119-3602
US

V. Phone/Fax

Practice location:
  • Phone: 801-571-9433
  • Fax: 801-572-5607
Mailing address:
  • Phone: 801-965-3600
  • Fax: --

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License Number8334539-1205
License Number StateUT
# 2
Primary TaxonomyN
Taxonomy Code208600000X
TaxonomySurgery Physician
License NumberML20008734
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: