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1861538860
CHRISTIAN B ANDERSON
IVINS, UT
NPI
1861538860
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207ND0101X Dermatology, MOHS-Micrographic Surgery
(Licence: WY 7168A)
Enumeration Date
2007-01-29
Last Update Date
2024-09-18
Business Address
Mr. CHRISTIAN B ANDERSON D.O.
272 EAST CENTER STREET SUITE 102
IVINS, UT 84738-6456
Phone number: 307-413-3752
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Mailing Address
Mr. CHRISTIAN B ANDERSON D.O.
756 W SHINAVA DR
IVINS, UT 84738-6713
Phone number: 307-413-3752
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