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1770565871

NPI Code Detail

MEDICARE: DAVID CHRISTIANSON M.D.

MEDICARE: DAVID CHRISTIANSON M.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
1	207RX0202X	Medical Oncology Physician	10533	MT
2	207RX0202X	Medical Oncology Physician	7008A	WY
3	207RH0003X	Hematology & Oncology Physician	10533	MT
4	207RH0003X	Hematology & Oncology Physician	7008A	WY

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	810511516012	OTHER		EBMS
2	312901	OTHER	WY	BLUE CROSS SHERIDAN WY
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
5	000097475	OTHER	MT	BLUE CROSS
6	312902	OTHER	WY	BLUE CROSS CODY WY

General Provider Information

NPI Number	:	1770565871
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DAVID CHRISTIANSON M.D.

Provider Business Mailing Address
First Line	:	PO BOX 30976
Second Line	:
City	:	BILLINGS
State	:	MT
Zip	:	59107-0976
Country	:	US
Telephone Number	:	406-238-6290
Fax Number	:	406-238-6961

Provider Business Practice Location Address
First Line	:	1315 GOLDEN VALLEY CIR
Second Line	:
City	:	BILLINGS
State	:	MT
Zip	:	59102-6746
Country	:	US
Telephone Number	:	406-238-6290
Fax Number	:	406-238-6961

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

Provider Enumeration Date	:	11/16/2005
Last Update Date	:	09/08/2010

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Directions to “ DAVID CHRISTIANSON M.D.” Practice Location

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