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NPI Code Detail

MEDICARE: GREGORY ALAN CHRISTIANSEN M.D.

MEDICARE:   GREGORY ALAN CHRISTIANSEN  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
1207W00000XOphthalmology PhysicianLL15827OR

Other Identifiers

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

General Provider Information

NPI Number : 1831175629
Entity Type Code : Individual
Provider Name (Legal Business Name) : GREGORY ALAN CHRISTIANSEN M.D.
Provider Business Mailing Address
First Line : 6344 S 900 E
Second Line :
City : SALT LAKE CITY
State : UT
Zip : 84121-2439
Country : US
Telephone Number : 801-892-8222
Fax Number : 801-904-3436
Provider Business Practice Location Address
First Line : 6344 S 900 E
Second Line :
City : SALT LAKE CITY
State : UT
Zip : 84121-2439
Country : US
Telephone Number : 801-892-8222
Fax Number : 801-904-3436
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/22/2005
Last Update Date : 02/25/2015

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Directions to “ GREGORY ALAN CHRISTIANSEN M.D.” Practice Location

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