Christopher Stanley Evensen D.O.

NPI 1558696757 - Orthopaedic Surgery - 207X00000X

NPI Details
NPI 1558696757
Gender Male
Enumeration Date 10/06/2009
Last Updated 01/19/2016
Entity Type Individual
Active Over 7 years ago
Practice Location
1000 N MAIN ST
RICHFIELD UT, 84701-2061, US
Phone (435) 893-0800
Fax (435) 893-0805
Business Location
1000 N MAIN ST
RICHFIELD UT, 84701-2061, US
Phone (435) 893-0800
Fax (804) 288-2850
Toxanomy
Taxonomy Code 207X00000X
License State Michigan
License Number 5101018437
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According to our database, Christopher Stanley Evensen D.O. NPI is 1558696757, taxonomy code is 207X00000X and license number is 5101018437, license state is located at Michigan. Christopher Stanley Evensen D.O. physically located at 1000 N Main St, Richfield UT, 84701-2061. NPI Number Christopher Stanley Evensen D.O. has the Individual type.

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1558696757 NPI number is provided on an as is basis without warranty of any kind. 1558696757 is maintained by the National Plan & Provider Enumeration System. The contents of Christopher Stanley Evensen D.O. are for informational purposes only.