Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207P00000X | Emergency Physician | R71682 | AZ |
NPI | 1013146729 |
---|---|
Provider Name | Miss Heidi K Christensen |
First Address | Highlands Ranch, CO 80129-2277 |
Second Address | Castle Pines, CO 80108-9454 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 02/07/2009 |
Last Update Date | 20/11/2020 |