MEDICARE: HUGH CHRISTENSEN PA

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	363A00000X	Physician Assistant	1858	AZ

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1568448520
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	HUGH CHRISTENSEN PA

Provider Business Mailing Address
First Line	:	13101 N ORACLE RD
Second Line	:	169
City	:	TUCSON
State	:	AZ
Zip	:	85739-9554
Country	:	US
Telephone Number	:	520-825-0300
Fax Number	:	520-825-0047

Provider Business Practice Location Address
First Line	:	13101 N ORACLE RD
Second Line	:	169
City	:	TUCSON
State	:	AZ
Zip	:	85739-9554
Country	:	US
Telephone Number	:	520-825-0300
Fax Number	:	520-825-0047

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

Provider Enumeration Date	:	12/21/2005
Last Update Date	:	03/31/2015

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Directions to “ HUGH CHRISTENSEN PA” Practice Location

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