Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207Q00000X | Family Doctor | 10395901-1204 | UT |
Y | 207RG0300X | Geriatric Medicine | 10395901-1204 | UT |
NPI | 1053773598 |
---|---|
Provider Name | Dr. Barbara Lynn Christiansen |
First Address | Salt Lake City, UT 84132-0002 |
Second Address | Salt Lake City, UT 84132-0002 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 23/03/2016 |
Last Update Date | 10/06/2019 |