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NPI Code Detail

MEDICARE: DR. JOSEPH RUDI CHRISTENSEN OD

MEDICARE:  DR. JOSEPH RUDI CHRISTENSEN  OD
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
1152W00000XOptometrist2145NC

General Provider Information

NPI Number : 1376876631
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JOSEPH RUDI CHRISTENSEN OD
Provider Business Mailing Address
First Line : 5053 EXECUTIVE DR
Second Line : STE A
City : MOREHEAD CITY
State : NC
Zip : 28557-2506
Country : US
Telephone Number : 252-633-0651
Fax Number : 252-514-9419
Provider Business Practice Location Address
First Line : 3005 DR MARTIN LUTHER KING JR BLVD
Second Line :
City : NEW BERN
State : NC
Zip : 28562-5211
Country : US
Telephone Number : 252-633-0651
Fax Number : 252-514-9419
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/17/2009
Last Update Date : 09/15/2017

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Directions to “ DR. JOSEPH RUDI CHRISTENSEN OD” Practice Location

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