MEDICARE: DR. BARBARA LYNN CHRISTIANSEN D.O.

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	207RG0300X	Geriatric Medicine (Internal Medicine) Physician	10395901-1204	UT
2	207Q00000X	Family Medicine Physician	10395901-1204	UT

General Provider Information

NPI Number	:	1053773598
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. BARBARA LYNN CHRISTIANSEN D.O.

Provider Business Mailing Address
First Line	:	3723 W 12600 S
Second Line	:
City	:	RIVERTON
State	:	UT
Zip	:	84065-7295
Country	:	US
Telephone Number	:	801-285-4546
Fax Number	:	801-285-4289

Provider Business Practice Location Address
First Line	:	3723 W 12600 S
Second Line	:
City	:	RIVERTON
State	:	UT
Zip	:	84065-7295
Country	:	US
Telephone Number	:	801-285-4546
Fax Number	:	801-285-4289

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

Provider Enumeration Date	:	03/23/2016
Last Update Date	:	01/14/2026

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