JAMES TYLER CHRISTENSEN

IDAHO FALLS, ID
NPI1578540498
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363AM0700X Physician Assistant Medical
(Licence: ID  PA402)
Additional Taxonomies363A00000X Physician Assistant
(Licence: ID  PA-402)
Enumeration Date2005-12-30
Last Update Date2010-05-28
Business Address
JAMES TYLER CHRISTENSEN PA
3100 CHANNING WAY
IDAHO FALLS, ID 83404-1647
Phone number: 208-535-4130
Mailing Address
JAMES TYLER CHRISTENSEN PA
2860 CHANNING WAY SUITE 115 PO BOX 1647
IDAHO FALLS, ID 83404-1647
Phone number: 208-535-4130