NPI 1487688990

Brent Christensen, DPM

Practitioner Podiatrist Pocatello, ID

Practice location

Address: 1777 E Clark St Suite 220, Pocatello, ID 83201-3357
Phone: (208) 235-1777
Fax: (208) 232-7518

Registered specialties (2)

Podiatrist Primary

Podiatric Medicine & Surgery Service Providers Taxonomy 213E00000X Licence P-166 (ID)

Other Podiatrist providers in Idaho →

Foot & Ankle Surgery Podiatrist

Podiatric Medicine & Surgery Service Providers Taxonomy 213ES0103X Licence P-166 (ID)

Registry record

NPI: 1487688990
Entity type: Individual
Sex (as registered): Male
NPI issued: 10 Jul 2006
Record last updated: 20 Jun 2013

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.