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NPI Code Detail

MEDICARE: W PHIL CHRISTENSEN AU.D

MEDICARE: W PHIL CHRISTENSEN AU.D
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
1231H00000XAudiologistA-012NV
2237700000XHearing Instrument Specialist155NV

General Provider Information

NPI Number : 1043294234
Entity Type Code : Individual
Provider Name (Legal Business Name) : W PHIL CHRISTENSEN AU.D
Provider Business Mailing Address
First Line : PO BOX 336080
Second Line :
City : N LAS VEGAS
State : NV
Zip : 89033-6080
Country : US
Telephone Number : 702-853-7986
Fax Number : 702-880-1511
Provider Business Practice Location Address
First Line : 9080 W CHEYENNE AVE STE 110
Second Line :
City : LAS VEGAS
State : NV
Zip : 89129-8932
Country : US
Telephone Number : 702-853-7986
Fax Number : 702-880-1511
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/01/2005
Last Update Date : 03/03/2011

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Directions to “ W PHIL CHRISTENSEN AU.D” Practice Location

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